J Korean Pediatr Soc.  2002 May;45(5):669-672.

A Case of Respiratory Difficulty Due to Congenital Tracheal Calcification and Nasal Pyriform Aperture Stenosis

• Kim KT
• Kim YM
• Park SE
• Park JH
• Noh HJ
• Kim HJ

Abstract

Nasal obstruction is a cause of respiratory distress in newborns. The congenital nasal airway obstructive abnormalities are classified into three forms according to the location: posterior choanal atresia, nasal cavity stenosis and congenital nasal pyriform aperture stenosis(CNPAS). CNPAS is located at the anterior part of the nasal fossa. CT is the study of choice to make the diagnosis of CNPAS and rule out other causes of nasal obstruction. Though conservative management of CNPAS is recommended, in cases of severe CNPAS surgical treatment should be considered. Calcification of cartilage in the larynx, trachea and bronchi is extremely rare in children. Such calcifications are generally discovered in young children with congenital stridor. The clinical course is favorable. No case with CNPAS and tracheal calcification is reported in newborn. We report a one-day-old girl with CNPAS and tracheal calcification who presented with respiratory difficulty immediately after birth.

Keyword

Congenital tracheal calcification; Nasal pyriform aperture stenosis

MeSH Terms

Bronchi
Cartilage
Child
Choanal Atresia
Constriction, Pathologic*
Diagnosis
Female
Humans
Infant, Newborn
Larynx
Nasal Cavity
Nasal Obstruction
Parturition
Respiratory Sounds
Trachea