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Midnasal stenosis

MedGen UID:
333516
•Concept ID:
C1840238
•
Finding
Synonym: Midnasal atresia or stenosis
 
HPO: HP:0010644

Definition

Abnormal narrowing (stenosis) of the midnasal cavity, i.e., of the middle nasal meatus, which in neonates can cause respiratory distress. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMidnasal stenosis

Conditions with this feature

Solitary median maxillary central incisor syndrome
MedGen UID:
326686
•Concept ID:
C1840235
•
Congenital Abnormality
A single maxillary central incisor positioned in the midline with morphological symmetry of the crown and bordered by lateral incisors.
See: Condition Record
Solitary median maxillary central incisor syndrome

Professional guidelines

PubMed

Congenital bony nasal cavity stenosis: A review of current trends in diagnosis and treatment.
Galluzzi F, Garavello W, Dalfino G, Castelnuovo P, Turri-Zanoni M
Int J Pediatr Otorhinolaryngol 2021 May;144:110670. Epub 2021 Mar 6 doi: 10.1016/j.ijporl.2021.110670. PMID: 33706014
Congenital midnasal stenosis: Conservative management.
Sahin Onder S, Sahin-Yilmaz A, Gergin Tinay O, Unsal B
Int J Pediatr Otorhinolaryngol 2020 May;132:109939. Epub 2020 Feb 8 doi: 10.1016/j.ijporl.2020.109939. PMID: 32065878
Congenital nasal pyriform aperture stenosis: Diagnosis, management and technical considerations.
Marrugo Pardo GE, Parra Charris JS, Parra Charris AE, Villa Zuluaga DF
Acta Otorrinolaringol Esp (Engl Ed) 2020 May-Jun;71(3):154-159. Epub 2019 Sep 5 doi: 10.1016/j.otorri.2019.05.001. PMID: 31495444

Recent clinical studies

Etiology

Heated humidified high-flow nasal cannula: a new conservative approach for neonatal nasal stenosis.
Havazelet S, Stafler P, Zarzur I, Coreanu T, Hod R, Armoni-Domany K, Gilony D
Eur Arch Otorhinolaryngol 2024 Oct;281(10):5261-5266. Epub 2024 May 14 doi: 10.1007/s00405-024-08728-4. PMID: 38743080Free PMC Article
Clinical and imaging evaluation of Congenital Midnasal Stenosis.
Levi L, Kornreich L, Hilly O, Raveh E, Gilony D
Int J Pediatr Otorhinolaryngol 2020 May;132:109918. Epub 2020 Feb 1 doi: 10.1016/j.ijporl.2020.109918. PMID: 32035350
Congenital nasal pyriform aperture stenosis: Diagnosis, management and technical considerations.
Marrugo Pardo GE, Parra Charris JS, Parra Charris AE, Villa Zuluaga DF
Acta Otorrinolaringol Esp (Engl Ed) 2020 May-Jun;71(3):154-159. Epub 2019 Sep 5 doi: 10.1016/j.otorri.2019.05.001. PMID: 31495444
Congenital nasal obstruction in infants: A retrospective study and literature review.
Patel VA, Carr MM
Int J Pediatr Otorhinolaryngol 2017 Aug;99:78-84. Epub 2017 May 30 doi: 10.1016/j.ijporl.2017.05.023. PMID: 28688570
Congenital nasal pyriform aperture stenosis: conservative management.
Collins B, Powitzky R, Enix J, Digoy GP
Ann Otol Rhinol Laryngol 2013 Oct;122(10):601-4. PMID: 24294681

Diagnosis

Midnasal stenosis in adults with normative values.
Ozturan O, Senturk E, Dogan R, Ozdem A, Aksoy F
J Laryngol Otol 2022 Jul;136(7):639-644. Epub 2022 Jan 7 doi: 10.1017/S0022215121004606. PMID: 34991747
Congenital bony nasal cavity stenosis: A review of current trends in diagnosis and treatment.
Galluzzi F, Garavello W, Dalfino G, Castelnuovo P, Turri-Zanoni M
Int J Pediatr Otorhinolaryngol 2021 May;144:110670. Epub 2021 Mar 6 doi: 10.1016/j.ijporl.2021.110670. PMID: 33706014
Neonatal nasal obstruction.
Alvo A, Villarroel G, Sedano C
Eur Arch Otorhinolaryngol 2021 Oct;278(10):3605-3611. Epub 2021 Jan 3 doi: 10.1007/s00405-020-06546-y. PMID: 33388986
Congenital midnasal stenosis: Conservative management.
Sahin Onder S, Sahin-Yilmaz A, Gergin Tinay O, Unsal B
Int J Pediatr Otorhinolaryngol 2020 May;132:109939. Epub 2020 Feb 8 doi: 10.1016/j.ijporl.2020.109939. PMID: 32065878
Clinical and imaging evaluation of Congenital Midnasal Stenosis.
Levi L, Kornreich L, Hilly O, Raveh E, Gilony D
Int J Pediatr Otorhinolaryngol 2020 May;132:109918. Epub 2020 Feb 1 doi: 10.1016/j.ijporl.2020.109918. PMID: 32035350

Therapy

Heated humidified high-flow nasal cannula: a new conservative approach for neonatal nasal stenosis.
Havazelet S, Stafler P, Zarzur I, Coreanu T, Hod R, Armoni-Domany K, Gilony D
Eur Arch Otorhinolaryngol 2024 Oct;281(10):5261-5266. Epub 2024 May 14 doi: 10.1007/s00405-024-08728-4. PMID: 38743080Free PMC Article
Congenital midnasal stenosis: Conservative management.
Sahin Onder S, Sahin-Yilmaz A, Gergin Tinay O, Unsal B
Int J Pediatr Otorhinolaryngol 2020 May;132:109939. Epub 2020 Feb 8 doi: 10.1016/j.ijporl.2020.109939. PMID: 32065878
Clinical and imaging evaluation of Congenital Midnasal Stenosis.
Levi L, Kornreich L, Hilly O, Raveh E, Gilony D
Int J Pediatr Otorhinolaryngol 2020 May;132:109918. Epub 2020 Feb 1 doi: 10.1016/j.ijporl.2020.109918. PMID: 32035350
Congenital nasal pyriform aperture stenosis: conservative management.
Collins B, Powitzky R, Enix J, Digoy GP
Ann Otol Rhinol Laryngol 2013 Oct;122(10):601-4. PMID: 24294681

Prognosis

Solitary median maxillary central incisor (SMMCI) syndrome.
Hall RK
Orphanet J Rare Dis 2006 Apr 9;1:12. doi: 10.1186/1750-1172-1-12. PMID: 16722608Free PMC Article
Solitary median maxillary central incisor, short stature, choanal atresia/midnasal stenosis (SMMCI) syndrome.
Hall RK, Bankier A, Aldred MJ, Kan K, Lucas JO, Perks AG
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997 Dec;84(6):651-62. doi: 10.1016/s1079-2104(97)90368-1. PMID: 9431535
Airway obstruction in the Crouzon syndrome: case report and review of the literature.
Sirotnak J, Brodsky L, Pizzuto M
Int J Pediatr Otorhinolaryngol 1995 Mar;31(2-3):235-46. doi: 10.1016/0165-5876(94)01090-k. PMID: 7782181

Clinical prediction guides

Heated humidified high-flow nasal cannula: a new conservative approach for neonatal nasal stenosis.
Havazelet S, Stafler P, Zarzur I, Coreanu T, Hod R, Armoni-Domany K, Gilony D
Eur Arch Otorhinolaryngol 2024 Oct;281(10):5261-5266. Epub 2024 May 14 doi: 10.1007/s00405-024-08728-4. PMID: 38743080Free PMC Article
Congenital nasal obstruction in infants: A retrospective study and literature review.
Patel VA, Carr MM
Int J Pediatr Otorhinolaryngol 2017 Aug;99:78-84. Epub 2017 May 30 doi: 10.1016/j.ijporl.2017.05.023. PMID: 28688570
Solitary median maxillary central incisor (SMMCI) syndrome.
Hall RK
Orphanet J Rare Dis 2006 Apr 9;1:12. doi: 10.1186/1750-1172-1-12. PMID: 16722608Free PMC Article
Solitary median maxillary central incisor, short stature, choanal atresia/midnasal stenosis (SMMCI) syndrome.
Hall RK, Bankier A, Aldred MJ, Kan K, Lucas JO, Perks AG
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997 Dec;84(6):651-62. doi: 10.1016/s1079-2104(97)90368-1. PMID: 9431535

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