Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

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

Authors: Xue-zhong Li, Xiao-lan Cai, Lei Zhang, Xue-feng Han, Xiao Wei

Published in: Journal of Medical Case Reports | Issue 1/2011

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Brenner KE, Oca MJ, Donn SM: Congenital choanal atresia in siblings. J Perinatol. 2000, 20: 443-444. 10.1038/sj.jp.7200011.CrossRefPubMed Brenner KE, Oca MJ, Donn SM: Congenital choanal atresia in siblings. J Perinatol. 2000, 20: 443-444. 10.1038/sj.jp.7200011.CrossRefPubMed
2.
go back to reference Vanzieleghem BD, Lemmerling MM, Vermeersch HF, Govaert P, Dhooge I, Meire F, Mortier GR, Leroy J, Kunnen MF: Imaging studies in the diagnostic workup of neonatal nasal obstruction. J Comput Assist Tomogr. 2001, 25: 540-549. 10.1097/00004728-200107000-00006.CrossRefPubMed Vanzieleghem BD, Lemmerling MM, Vermeersch HF, Govaert P, Dhooge I, Meire F, Mortier GR, Leroy J, Kunnen MF: Imaging studies in the diagnostic workup of neonatal nasal obstruction. J Comput Assist Tomogr. 2001, 25: 540-549. 10.1097/00004728-200107000-00006.CrossRefPubMed
3.
go back to reference Tambwekar SR, Aiyer PM, Vij VK: Supernumerary nostril in association with incomplete naso-ocular cleft. Plast Reconstr Surg. 1997, 100: 682-684. 10.1097/00006534-199709000-00022.CrossRefPubMed Tambwekar SR, Aiyer PM, Vij VK: Supernumerary nostril in association with incomplete naso-ocular cleft. Plast Reconstr Surg. 1997, 100: 682-684. 10.1097/00006534-199709000-00022.CrossRefPubMed
4.
go back to reference Sadek SAA: Congenital bilateral choanal atresia. Int J Pediatr Torhinolaryngol. 1998, 42: 247-256. 10.1016/S0165-5876(97)00142-0.CrossRef Sadek SAA: Congenital bilateral choanal atresia. Int J Pediatr Torhinolaryngol. 1998, 42: 247-256. 10.1016/S0165-5876(97)00142-0.CrossRef
5.
go back to reference Brown OE, Pownell P, Manning SC: Choanal atresia: A new anatomic classification and clinical management applications. Laryngoscope. 1996, 106: 97-101. 10.1097/00005537-199601000-00019.CrossRefPubMed Brown OE, Pownell P, Manning SC: Choanal atresia: A new anatomic classification and clinical management applications. Laryngoscope. 1996, 106: 97-101. 10.1097/00005537-199601000-00019.CrossRefPubMed
6.
go back to reference Carbonell Casasus J, Cánovas Llorens DL: Malformations associated with choanal atresia: a report of 7 cases. Acta Otorrinolaringol Esp. 1994, 45: 281-286.PubMed Carbonell Casasus J, Cánovas Llorens DL: Malformations associated with choanal atresia: a report of 7 cases. Acta Otorrinolaringol Esp. 1994, 45: 281-286.PubMed
7.
go back to reference Burrow TA, Saal HM, de Alarcon A, Martin LJ, Cotton RT, Hopkin RJ: Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg. 2009, 135: 543-547. 10.1001/archoto.2009.53.CrossRefPubMed Burrow TA, Saal HM, de Alarcon A, Martin LJ, Cotton RT, Hopkin RJ: Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg. 2009, 135: 543-547. 10.1001/archoto.2009.53.CrossRefPubMed
8.
go back to reference Southwell KE, Bird PA, Murray DP: Cochlear implantation in children with CHARGE syndrome. Cochlear Implants Int. 2010, 11: 170-183.PubMed Southwell KE, Bird PA, Murray DP: Cochlear implantation in children with CHARGE syndrome. Cochlear Implants Int. 2010, 11: 170-183.PubMed
9.
go back to reference Verloes A: Updated diagnostic criteria for CHARGE syndrome: a proposal. Am J Med Genet A. 2005, 133A: 306-308. 10.1002/ajmg.a.30559.CrossRefPubMed Verloes A: Updated diagnostic criteria for CHARGE syndrome: a proposal. Am J Med Genet A. 2005, 133A: 306-308. 10.1002/ajmg.a.30559.CrossRefPubMed
10.
go back to reference Jefferson Y: Mouth breathing: adverse effects on facial growth, health, academics, and behavior. Gen Dent. 2010, 58: 18-25. quiz 26-27, 79-80PubMed Jefferson Y: Mouth breathing: adverse effects on facial growth, health, academics, and behavior. Gen Dent. 2010, 58: 18-25. quiz 26-27, 79-80PubMed
11.
go back to reference Castelnuovo P, Valentini V, Giovannetti F, Bignami M, Cassoni A, Iannetti G: Osteomas of the maxillofacial district: endoscopic surgery versus open surgery. J Craniofac Surg. 2008, 19: 1446-1452. 10.1097/SCS.0b013e31818b417d.CrossRefPubMed Castelnuovo P, Valentini V, Giovannetti F, Bignami M, Cassoni A, Iannetti G: Osteomas of the maxillofacial district: endoscopic surgery versus open surgery. J Craniofac Surg. 2008, 19: 1446-1452. 10.1097/SCS.0b013e31818b417d.CrossRefPubMed
12.
go back to reference McHugh JB, Mukherji SK, Lucas DR: Sino-orbital osteoma: a clinicopathologic study of 45 surgically treated cases with emphasis on tumors with osteoblastoma-like features. Arch Pathol Lab Med. 2009, 133: 1587-1593.PubMed McHugh JB, Mukherji SK, Lucas DR: Sino-orbital osteoma: a clinicopathologic study of 45 surgically treated cases with emphasis on tumors with osteoblastoma-like features. Arch Pathol Lab Med. 2009, 133: 1587-1593.PubMed
13.
go back to reference Blum ME, Larson A: Mucocele of the sphenoid sinus with sudden blindness. Laryngoscope. 1973, 83: 2042-2049. 10.1288/00005537-197312000-00017.CrossRefPubMed Blum ME, Larson A: Mucocele of the sphenoid sinus with sudden blindness. Laryngoscope. 1973, 83: 2042-2049. 10.1288/00005537-197312000-00017.CrossRefPubMed
14.
go back to reference Karapantzos I, Detorakis ET, Drakonaki EE, Ganasouli DL, Danielides V, Kozobolis VP: Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. Acta Ophthalmol Scand. 2005, 83: 392-394. 10.1111/j.1600-0420.2005.00459.x.CrossRefPubMed Karapantzos I, Detorakis ET, Drakonaki EE, Ganasouli DL, Danielides V, Kozobolis VP: Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. Acta Ophthalmol Scand. 2005, 83: 392-394. 10.1111/j.1600-0420.2005.00459.x.CrossRefPubMed
15.
go back to reference Yiotakis I, Eleftheriadou A, Giotakis E, Manolopoulos L, Ferekidou E, Kandiloros D: Resection of giant ethmoid osteoma with orbital and skull base extension followed by duraplasty. World J Surg Oncol. 2008, 6: 110-10.1186/1477-7819-6-110.CrossRefPubMedPubMedCentral Yiotakis I, Eleftheriadou A, Giotakis E, Manolopoulos L, Ferekidou E, Kandiloros D: Resection of giant ethmoid osteoma with orbital and skull base extension followed by duraplasty. World J Surg Oncol. 2008, 6: 110-10.1186/1477-7819-6-110.CrossRefPubMedPubMedCentral
16.
go back to reference Chang KC, Kwon JW, Han YK, Wee WR, Lee JH: The epidemiology of cosmetic treatments for corneal opacities in a Korean population. Korean J Ophthalmol. 2010, 24: 148-154. 10.3341/kjo.2010.24.3.148.CrossRefPubMedPubMedCentral Chang KC, Kwon JW, Han YK, Wee WR, Lee JH: The epidemiology of cosmetic treatments for corneal opacities in a Korean population. Korean J Ophthalmol. 2010, 24: 148-154. 10.3341/kjo.2010.24.3.148.CrossRefPubMedPubMedCentral
17.
go back to reference Speakman JS, Crawford JS: Congenital opacities of the cornea. Brit J Ophthal. 1965, 50: 68-78.CrossRef Speakman JS, Crawford JS: Congenital opacities of the cornea. Brit J Ophthal. 1965, 50: 68-78.CrossRef
18.
go back to reference Bowman RJC, Faal H, Dolin P, Johnson GJ: Non-trachomatous corneal opacities in the Gambia--aetiology and visual burden. Eye. 2002, 16: 27-32. 10.1038/sj.eye.6700027.CrossRefPubMed Bowman RJC, Faal H, Dolin P, Johnson GJ: Non-trachomatous corneal opacities in the Gambia--aetiology and visual burden. Eye. 2002, 16: 27-32. 10.1038/sj.eye.6700027.CrossRefPubMed
19.
go back to reference Yi CH, Lee DH, Chung ES, Chung TY: A comparison of posterior lamellar keratoplasty modalities: DLEK vs. DSEK. Korean J Ophthalmol. 2010, 24: 195-200. 10.3341/kjo.2010.24.4.195.CrossRefPubMedPubMedCentral Yi CH, Lee DH, Chung ES, Chung TY: A comparison of posterior lamellar keratoplasty modalities: DLEK vs. DSEK. Korean J Ophthalmol. 2010, 24: 195-200. 10.3341/kjo.2010.24.4.195.CrossRefPubMedPubMedCentral
Metadata
Title
Bilateral congenital choanal atresia and osteoma of ethmoid sinus with supernumerary nostril: a case report and review of the literature
Authors
Xue-zhong Li
Xiao-lan Cai
Lei Zhang
Xue-feng Han
Xiao Wei
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-583

Other articles of this Issue 1/2011

Journal of Medical Case Reports 1/2011 Go to the issue