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Congenital nasal obstruction: clinical and radiologic review

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Abstract

Congenital nasal obstruction can result in neonatal respiratory distress because neonates are obligate nasal breathers. Therefore, all physicians who deal with infants should be familiar with the structural abnormalities, masses, and syndromes that cause nasal obstruction, so that appropriate work-up and treatment can be promptly initiated. This paper reviews the embryology of the nasal passage and then continues with the different causes of nasal obstruction. Special attention is paid to the presentation, physical exam findings, and imaging modality of choice.

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Abbreviations

CT:

Computerized tomography

PAS:

Pyriform aperature stenosis

MRI:

Magnetic resonance imaging

CNS:

Central nervous system

CSF:

Cerebrospinal fluid

AVM:

Arteriovenous malformation

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Correspondence to Eelam Adil.

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Adil, E., Huntley, C., Choudhary, A. et al. Congenital nasal obstruction: clinical and radiologic review. Eur J Pediatr 171, 641–650 (2012). https://doi.org/10.1007/s00431-011-1591-6

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Keywords

  • Nasal obstruction
  • Nasopharyngeal obstruction
  • Choanal atresia
  • Pyriform aperature stenosis
  • Midnasal stenosis
  • Nasal dermoid
  • Teratoma
  • Glioma
  • Encephalocele
  • Turbinate hypertrophy
  • Septal deviation
  • Neonatal rhinitis