Pyriform aperture stenosis

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Nasal obstruction.

Patient Data

Age: 5 days
Gender: Male
ct

Inward bowing and thickening of the nasal processes of the maxilla with subsequent narrowing of the pyriform aperture measuring 5 mm (normal is not <11 mm) suggestive of congenital pyriform aperture stenosis. 

The nasal cavities look small in size with associated (S) shaped nasal septal deviation exerting additional compromise on the nasal cavities more at the right side.

The posterior choanal openings appear normal.

Annotated image

The pyriform aperture measures 5 mm (normal is not <11 mm).

Case Discussion

CT features of congenital pyriform aperture stenosis.

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