Evidence map›Paper›PMID 34530869›Full record

ArticleItalian journal of pediatrics2021

Balloon dilation and rapid maxillary expansion: a novel combination treatment for congenital nasal pyriform aperture stenosis in an infant.

Emanuela Sitzia, Sara Santarsiero, Filippo Maria Tucci, Giovanni De Vincentiis, Angela Galeotti, Paola Festa

Open access · goldAbstract readCase Reports
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Emanuela SitziaUnit of Otolaryngology, Bambino Gesù Children's Hospital, 00165, Rome, Italy.
Sara SantarsieroUnit of Otolaryngology, Bambino Gesù Children's Hospital, 00165, Rome, Italy. sara.santarsiero19@gmail.com.ORCID http://orcid.org/0000-0001-9906-2209
Filippo Maria TucciUnit of Otolaryngology, Bambino Gesù Children's Hospital, 00165, Rome, Italy.
Giovanni De VincentiisUnit of Otolaryngology, Bambino Gesù Children's Hospital, 00165, Rome, Italy.
Angela GaleottiUnit of Dentistry, Bambino Gesù Children's Hospital, 00165, Rome, Italy.
Paola FestaUnit of Dentistry, Bambino Gesù Children's Hospital, 00165, Rome, Italy.
Bambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital nasal pyriform aperture stenosis (CNPAS) is a rare condition that may occur alone or as part of a multi-formative syndrome. Management remains difficult. There is no specific treatment protocol. Traditional surgery would be anachronistic; a non-invasive or minimally invasive therapeutic option is required. However, the rarity of the disease and the infantile context render randomised clinical trials difficult. CASE PRESENTATION: We present the case of a one-month-old Caucasian boy with CNPAS. He presented to the Emergency Department of the Bambino Gesù Pediatric Hospital with nasal obstruction, noisy breathing, feeding difficulties, and suspected sleep apnoea. During hospitalisation, he underwent overnight pulse oximetry, airway endoscopy, and maxillofacial computed tomography (CT); the final diagnosis was CNPAS with moderate obstructive sleep apnoea syndrome. We successfully treated the patient using an innovative strategy that involved collaboration between ear-nose-and-throat surgeons and orthodontists.

conclusionsA combination of minimally invasive balloon surgery and placement of a palatal device may successfully treat CNPAS; it may also treat other types of nasal bone stenosis. Future studies may allow the development of practice consensus treatment strategies.

Indexed as

DilatationPalatal Expansion TechniqueConstriction, PathologicHumansInfant, NewbornMaleNasal CavityNasal ObstructionBalloon dilationCNPASCongenital nasal stenosisCraniofacial anomaliesInfant nasal obstructionNasal endoscopyObstructive sleep apnoea syndromePalatal expanderPASPyriform aperture stenosis

Identifiers

PMID34530869
PMCPMC8447711
OpenAlexW3147976299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.