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Titolo:
Radiographic diagnosis of congenital bony nasal stenosis
Autore:
Koga, K; Kawashiro, N; Araki, A; Tsuchihashi, N; Sakai, M;
Indirizzi:
Keio Univ, Sch Med, Dept Otolaryngol, Shinjuku Ku, Tokyo 1608582, Japan Keio Univ Tokyo Japan 1608582 aryngol, Shinjuku Ku, Tokyo 1608582, Japan Natl Childrens Hosp, Div Otolaryngol, Setagaya Ku, Tokyo 1548509, Japan Natl Childrens Hosp Tokyo Japan 1548509 etagaya Ku, Tokyo 1548509, Japan Chigasaki Cent Hosp, Div Otolaryngol, Chigasaki, Kanagawa 2530041, Japan Chigasaki Cent Hosp Chigasaki Kanagawa Japan 2530041 agawa 2530041, Japan
Titolo Testata:
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
fascicolo: 1, volume: 59, anno: 2001,
pagine: 29 - 39
SICI:
0165-5876(20010531)59:1<29:RDOCBN>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
PYRIFORM APERTURE STENOSIS; AIRWAY-OBSTRUCTION;
Keywords:
congenital bony nasal stenosis (CBNS); nasal width; interorbital distance; facial width; occipitofrontal view; CT scan;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Koga, K Keio Univ, Sch Med, Dept Otolaryngol, Shinjuku Ku, Tokyo 1608582, Japan Keio Univ Tokyo Japan 1608582 Shinjuku Ku, Tokyo 1608582, Japan
Citazione:
K. Koga et al., "Radiographic diagnosis of congenital bony nasal stenosis", INT J PED O, 59(1), 2001, pp. 29-39

Abstract

Congenital bony nasal stenosis (CBNS) is a rare condition that causes respiratory distress in neonates. Between 1986 and 1996, we encountered 13 cases of CBNS. Recently, CT measurements have been used to evaluate the features of this type of stenosis, but no satisfactory investigation of the severity of bony nasal stenosis has been reported. We compared the nasal width (NW), facial width (FW), and interorbital distance (IOD) measured from occipitofrontal (Caldwell's) projections of plain radiographs in nine CBNS patients and nine normal infants. NW was significantly narrower in the CBNS patients than in the controls, and never exceeded the IOD in any of the CBNS patients. This measuring method can be used to diagnose CBNS, because NW in normal subjects of all age groups is always greater than IOD on Caldwell's view. We also investigated one patient radiographically, to determine how NW increased until the age of 4 years. However, there was no significant change in nasal width, although the FW increased significantly. This method seems useful for determining the severity of stenosis, and its simplicity makesit useful for routine investigation of breathing difficulty in neonates and infants. We review and discuss the CT images of CBNS reported in the literature. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:04:29