Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T20:55:30.113Z Has data issue: false hasContentIssue false
  • English
  • Français

Midnasal stenosis in adults with normative values

Published online by Cambridge University Press:  07 January 2022

O Ozturan ,
E Senturk Open the ORCID record for E Senturk [Opens in a new window] ,
R Dogan ,
A Ozdem  and
F Aksoy
O Ozturan
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey
E Senturk*
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey
R Dogan
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey
A Ozdem
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey
F Aksoy
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey
*
Author for correspondence: Dr Erol Senturk, Department of Otorhinolaryngology, Medical Faculty, Bezmialem Vakif University, Fatih, Istanbul, Turkey Fax: +90 212 4531870 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Congenital midnasal stenosis has previously been described as a cause of nasal obstruction in infants, and conservative and interventional treatments have been suggested. However, midnasal stenosis in adults has not been reported and related normative measurements have not been studied.

Methods

Three adult patients presented with nasal obstruction and, based on examination and radiological findings, were diagnosed with midnasal stenosis. Anatomical measurements were studied in axial and coronal computed tomography scans, and compared with findings for 161 healthy individuals.

Results

Anatomical measurements showed that the endonasal cavity was larger in males than females. The midnasal region was found to be constricted in patients compared to healthy controls.

Conclusion

This is the first study to report on midnasal stenosis in adults and to define normative anatomical measurements in adults. In patients presenting with nasal obstruction, midnasal stenosis should be suspected during endoscopic visualisation of medially located middle turbinates and uncinate processes in nasal cavities. A definitive diagnosis of midnasal stenosis can be made by examining paranasal sinus computed tomography scans. Endoscopic middle turbinectomy, complete uncinectomy, mega maxillary antrostomy and partial anterior ethmoidectomy have been suggested to relieve midnasal stenosis.

Keywords

Maxillary SinusNoseNasal ObstructionParanasal SinusesTurbinates
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 7 , July 2022 , pp. 639 - 644
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr E Senturk takes responsibility for the integrity of the content of the paper

References

Sohal, M, Schoem, SR. Disorders of the neonatal nasal cavity: fundamentals for practice. Semin Fetal Neonatal Med 2016;21:263–910.1016/j.siny.2016.03.007CrossRefGoogle ScholarPubMed
Gnagi, SH, Schraff, SA. Nasal obstruction in newborns. Pediatr Clin North Am 2013;60:903–22CrossRefGoogle ScholarPubMed
Yang, S, Orta, P 2nd, Renk, EM, Inman, JC. Congenital nasal pyriform aperture stenosis in association with solitary median maxillary central incisor: unique radiologic features. Radiol Case Rep 2016;11:178–81CrossRefGoogle ScholarPubMed
Raghavan, U, Fuad, F, Gibbin, KP. Congenital midnasal stenosis in an infant. Int J Pediatr Otorhinolaryngol 2004;68:823–5CrossRefGoogle ScholarPubMed
Levi, L, Kornreich, L, Hilly, O, Raveh, E, Gilony, D. Clinical and imaging evaluation of congenital midnasal stenosis. Int J Pediatr Otorhinolaryngol 2020;132:109918CrossRefGoogle ScholarPubMed
Syed, KA, Raja, K, Kolethekkat, AA, Varghese, AM, Al Abri, R, Kurien, M. Congenital midnasal stenosis - a novel technique for management. Int J Pediatr Otorhinolaryngol 2016;87:117–20CrossRefGoogle ScholarPubMed
Collins, B, Powitzky, R, Enix, J, Digoy, GP. Congenital nasal pyriform aperture stenosis: conservative management. Ann Otol Rhinol Laryngol 2013;122:601–4CrossRefGoogle ScholarPubMed
Sahin Onder, S, Sahin-Yilmaz, A, Gergin Tinay, O, Unsal, B. Congenital midnasal stenosis: conservative management. Int J Pediatr Otorhinolaryngol 2020;132:109939CrossRefGoogle ScholarPubMed
Erdem, T, Ozturan, O, Erdem, G, Akarcay, M, Miman, MC. Nasal pyriform aperture stenosis in adults. Am J Rhinol 2004;18:57–62CrossRefGoogle ScholarPubMed
Stewart, MG, Smith, TL, Weaver, EM, Witsell, DL, Yueh, B, Hannley, MT et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130:283–90CrossRefGoogle ScholarPubMed
Reeves, TD, Discolo, CM, White, DR. Nasal cavity dimensions in congenital pyriform aperture stenosis. Int J Pediatr Otorhinolaryngol 2013;77:1830–2CrossRefGoogle ScholarPubMed
Belden, CJ, Mancuso, AA, Schmalfuss, IM. CT features of congenital nasal piriform aperture stenosis: initial experience. Radiology 1999;213:495–501CrossRefGoogle ScholarPubMed
Scadding, G. Optimal management of nasal congestion caused by allergic rhinitis in children: safety and efficacy of medical treatments. Paediatr Drugs 2008;10:151–62CrossRefGoogle ScholarPubMed