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Bilateral congenital choanal atresia and osteoma of ethmoid sinus with supernumerary nostril: a case report and review of the literature.

Li XZ, Cai XL, Zhang L, Han XF, Wei X - J Med Case Rep (2011)

Bottom Line: A 22-year-old Chinese man presented with mouth breathing, sleep snoring and difficult feeding after birth, with no olfactory sensation.Three-dimensional computed tomography revealed bilateral choanal atresia and a high density bony shadow in his left ethmoid sinus that extended to his left frontal sinus.To the best of our knowledge, this is the first report of choanal atresia accompanied by congenital accessory nasal deformity and congenital keratoleukoma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Otolaryngology, Qilu Hospital, Shandong University, Ji'nan 250012, China. zhangleicome@126.com.

ABSTRACT

Introduction: Congenital choanal atresia is a relatively rare deformity, especially bilateral congenital choanal atresia. We report a case of bilateral congenital choanal atresia in a 22-year-old Chinese man, who was also diagnosed with congenital right accessory nasal deformity, osteoma of his left ethmoid sinus and congenital keratoleukoma of his right eye.

Case presentation: A 22-year-old Chinese man presented with mouth breathing, sleep snoring and difficult feeding after birth, with no olfactory sensation. Three-dimensional computed tomography revealed bilateral choanal atresia and a high density bony shadow in his left ethmoid sinus that extended to his left frontal sinus.

Conclusions: Choanal atresia is often accompanied by other congenital abnormalities. To the best of our knowledge, this is the first report of choanal atresia accompanied by congenital accessory nasal deformity and congenital keratoleukoma.

No MeSH data available.


Related in: MedlinePlus

Congenital right accessory nasal deformity. The right anterior naris was divided into two parts by a barrier diaphragm protruding from a lateral wall.
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Figure 1: Congenital right accessory nasal deformity. The right anterior naris was divided into two parts by a barrier diaphragm protruding from a lateral wall.

Mentions: Physical examination revealed severe closed rhinolalia and no airflow in both of his anterior naris. Three nostrils were identified on his external naris. His left naris, round-shaped and about 1 cm in diameter, was normal. However, his right anterior naris was divided into two parts by a barrier diaphragm which protruded from the lateral wall (Figure 1). The medial part of his right naris was relatively large, similar to the left, and connected to the nasal cavity, while the lateral part was approximately 0.3 cm in diameter and did not communicate with the nasal cavity.


Bilateral congenital choanal atresia and osteoma of ethmoid sinus with supernumerary nostril: a case report and review of the literature.

Li XZ, Cai XL, Zhang L, Han XF, Wei X - J Med Case Rep (2011)

Congenital right accessory nasal deformity. The right anterior naris was divided into two parts by a barrier diaphragm protruding from a lateral wall.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3285051&req=5

Figure 1: Congenital right accessory nasal deformity. The right anterior naris was divided into two parts by a barrier diaphragm protruding from a lateral wall.
Mentions: Physical examination revealed severe closed rhinolalia and no airflow in both of his anterior naris. Three nostrils were identified on his external naris. His left naris, round-shaped and about 1 cm in diameter, was normal. However, his right anterior naris was divided into two parts by a barrier diaphragm which protruded from the lateral wall (Figure 1). The medial part of his right naris was relatively large, similar to the left, and connected to the nasal cavity, while the lateral part was approximately 0.3 cm in diameter and did not communicate with the nasal cavity.

Bottom Line: A 22-year-old Chinese man presented with mouth breathing, sleep snoring and difficult feeding after birth, with no olfactory sensation.Three-dimensional computed tomography revealed bilateral choanal atresia and a high density bony shadow in his left ethmoid sinus that extended to his left frontal sinus.To the best of our knowledge, this is the first report of choanal atresia accompanied by congenital accessory nasal deformity and congenital keratoleukoma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Otolaryngology, Qilu Hospital, Shandong University, Ji'nan 250012, China. zhangleicome@126.com.

ABSTRACT

Introduction: Congenital choanal atresia is a relatively rare deformity, especially bilateral congenital choanal atresia. We report a case of bilateral congenital choanal atresia in a 22-year-old Chinese man, who was also diagnosed with congenital right accessory nasal deformity, osteoma of his left ethmoid sinus and congenital keratoleukoma of his right eye.

Case presentation: A 22-year-old Chinese man presented with mouth breathing, sleep snoring and difficult feeding after birth, with no olfactory sensation. Three-dimensional computed tomography revealed bilateral choanal atresia and a high density bony shadow in his left ethmoid sinus that extended to his left frontal sinus.

Conclusions: Choanal atresia is often accompanied by other congenital abnormalities. To the best of our knowledge, this is the first report of choanal atresia accompanied by congenital accessory nasal deformity and congenital keratoleukoma.

No MeSH data available.


Related in: MedlinePlus