Skip to main content

Advertisement

SpringerLink
Log in

Diagnostic Imaging Features of Congenital Nose and Nasal Cavity Lesions

  • Review Article
  • Published:
Clinical Neuroradiology Aims and scope Submit manuscript

Abstract

A wide variety of congenital nasal lesions can present to clinical attention due to airway obstruction, the presence of a mass, and/or cosmetic deformity, including pyriform aperture stenosis, choanal atresia, nasopharyngeal atresia, arrhinia, congenital germline fusion cysts, cephaloceles, neuroglial heterotopia, nasolacrimal duct mucoceles, hamartomas, supernumerary nostril, and bifid nose. Computed tomography and magnetic resonance imaging, which are the main imaging modalities used to characterize these lesions, often serve complementary roles. Familiarity with embryology and anatomy is also essential for recognizing the diagnostic imaging findings related to congenital nasal lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Valencia MP, Castillo M. Congenital and acquired lesions of the nasal septum: a practical guide for differential diagnosis. Radiographics. 2008;28:205–24; quiz 326.

  2. Som PM, Naidich TP. Illustrated review of the embryology and development of the facial region, part 1: early face and lateral nasal cavities. AJNR Am J Neuroradiol. 2013;34:2233–40.

    Article  CAS  PubMed  Google Scholar 

  3. Som PM, Naidich TP. Illustrated review of the embryology and development of the facial region, part 2: late development of the fetal face and changes in the face from the newborn to adulthood. AJNR Am J Neuroradiol. 2014;35:10–8.

    Article  CAS  PubMed  Google Scholar 

  4. Lowe LH, Booth TN, Joglar JM, Rollins NK. Midface anomalies in children. Radiographics. 2000;20:907–22; quiz 1106–7, 1112.

  5. Osovsky M, Aizer-Danon A, Horev G, Sirota L. Congenital pyriform aperture stenosis. Pediatr Radiol. 2007;37:97–9.

    Article  PubMed  Google Scholar 

  6. Belden CJ, Mancuso AA, Schmalfuss IM. CT features of congenital nasal pyriform aperture stenosis: initial experience. Radiology. 1999;213:495–501.

    Article  CAS  PubMed  Google Scholar 

  7. Tate JR, Sykes J. Congenital nasal pyriform aperture stenosis. Otolaryngol Clin North Am. 2009;42:521–5.

    Article  PubMed  Google Scholar 

  8. Keller JL, Kacker A. Choanal atresia, CHARGE association, and congenital nasal stenosis. Otolaryngol Clin North Am. 2000;33:1343–51, viii.

  9. 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;135:543–7.

    Article  PubMed  Google Scholar 

  10. Black CM, Dungan D, Fram E, Bird CR, Rekate HL, Beals SP, Raines JM. Potential pitfalls in the work-up and diagnosis of choanal atresia. AJNR Am J Neuroradiol. 1998;19:326–9.

    CAS  PubMed  Google Scholar 

  11. Smith JK, Castillo M, Mukherji S, Buenting J, Drake A. Imaging of nasopharyngeal atresia. AJNR Am J Neuroradiol. 1995;16:1936–8.

    CAS  PubMed  Google Scholar 

  12. Tessier P, Ciminello FS, Wolfe SA. The arrhinias. Scand J Plast Reconstr Surg Hand Surg. 2009;43:177–96.

    Article  PubMed  Google Scholar 

  13. Albernaz VS, Castillo M, Mukherji SK, Ihmeidan IH. Congenital arhinia. AJNR Am J Neuroradiol. 1996;17:1312–4.

    CAS  PubMed  Google Scholar 

  14. Shino M, Chikamatsu K, Yasuoka Y, Nagai K, Furuya N. Congenital arhinia: a case report and functional evaluation. Laryngoscope. 2005;115:1118–23.

    Article  PubMed  Google Scholar 

  15. Bosma JF, Henkin RI, Christiansen RL, Herdt JR. Hypoplasia of the nose and eyes, hyposmia, hypogeusia, and hypogonadotrophic hypogonadism in two males. J Craniofac Genet Dev Biol. 1981;1:153–84.

    CAS  PubMed  Google Scholar 

  16. Holzmann D, Huisman TA, Holzmann P, Stoeckli SJ. Surgical approaches for nasal dermal sinus cysts. Rhinology. 2007;45:31–5.

    PubMed  Google Scholar 

  17. Posnick JC, Bortoluzzi P, Armstrong DC. Nasal dermoid sinus cysts: an unusual presentation, computed tomographic scan findings, and surgical results. Ann Plast Surg. 1994;32:519–23.

    Article  CAS  PubMed  Google Scholar 

  18. Hsu ML, Chen CY, Lien YH, Wang CC, Yuh YS, Chen SJ. Meningitis complicating an occult infected nasal epidermoid cyst in a child. J Neuroimaging. 2002;12:187–9.

    Article  PubMed  Google Scholar 

  19. Penner CR, Thompson L. Nasal glial heterotopia: a clinicopathologic and immunophenotypic analysis of 10 cases with a review of the literature. Ann Diagn Pathol. 2003;7:354–9.

    Article  PubMed  Google Scholar 

  20. Koch BL. Case 73: Nasolacrimal duct mucocele. Radiology. 2004;232:370–2.

    Article  CAS  PubMed  Google Scholar 

  21. Yazici Z, Kline-Fath BM, Yazici B, Rubio EI, Calvo-Garcia MA, Linam LE. Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol. 2010;40:1868–73.

    Article  PubMed  Google Scholar 

  22. Oncel MY, Ozdemir R, Yurttutan S, Erdeve O, Akyol U, Tanas O, Dilmen U. Nasal congenital fibrolipomatous hamartoma in a premature infant. Turk J Pediatr. 2012;54:555–7.

    PubMed  Google Scholar 

  23. Hsueh C, Hsueh S, Gonzalez-Crussi F, Lee T, Su J. Nasal chondromesenchymal hamartoma in children: report of 2 cases with review of the literature. Arch Pathol Lab Med. 2001;125:400–3.

    CAS  PubMed  Google Scholar 

  24. Ginat DT, Holbrook EH, Faquin W, Curtin HD. Nasal hamartoma associated with duplicated pituitary. J Comput Assist Tomogr. 2013;37:369–70.

    Article  PubMed  Google Scholar 

  25. Costa MA, Borzabadi-Farahani A, Lara-Sanchez PA, Schweitzer D, Jacobson L, Clarke N, Hammoudeh J, Urata MM, Magee WP 3rd. Partial craniofacial duplication: a review of the literature and case report. J Craniomaxillofac Surg. 2014;42:290–6.

  26. Manjila S, Miller EA, Vadera S, Goel RK, Khan FR, Crowe C, Geertman RT. Duplication of the pituitary gland associated with multiple blastogenesis defects: Duplication of the pituitary gland (DPG)-plus syndrome. Case report and review of literature. Surg Neurol Int. 2012;3:23.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Matsumura T, Hayashi A, Komuro Y. The supernumerary nostril. J Craniofac Surg. 2010;21:808–10.

  28. Saiga A, Mitsukawa N. Case of supernumerary nostril. J Plast Reconstr Aesthet Surg. 2013;66:126–8.

    Article  PubMed  Google Scholar 

  29. Franco D, Medeiros J, Faveret P, Franco T. Supernumerary nostril: case report and review of the literature. Plast Reconstr Aesthet Surg. 2008;61:442–6.

    Article  Google Scholar 

  30. Zbar RI, Rai SM, Ghimire P. Repair of congenital nasal anomalies involving redundancy of structures. Cleft Palate Craniofac J. 2003;40:214–7.

    Article  PubMed  Google Scholar 

  31. Miller PJ, Grinberg D, Wang TD. Midline cleft. Treatment of the bifid nose. Arch Facial Plast Surg. 1999;1:200–3.

    Article  CAS  PubMed  Google Scholar 

  32. Mahore A, Shah A, Nadkarni T, Goel A. Craniofrontonasal dysplasia associated with Chiari malformation. J Neurosurg Pediatr. 2010;5:375–9.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

The authors have no relevant conflicts of interest to disclose.

Author information

Authors and Affiliations

  1. Department of Radiology, University of Chicago, 5841S Maryland Avenue, Chicago, IL 60637, USA

    D. T. Ginat MD, MS

  2. Department of Radiology, Boston Children’s Hospital, Boston, MA, USA

    C. D. Robson MD

Authors
  1. D. T. Ginat MD, MS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. D. Robson MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. T. Ginat MD, MS.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ginat, D., Robson, C. Diagnostic Imaging Features of Congenital Nose and Nasal Cavity Lesions. Clin Neuroradiol 25, 3–11 (2015). https://doi.org/10.1007/s00062-014-0323-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00062-014-0323-5

Keywords

Search

Navigation