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  1. Fulltext Congenital Nasal Pyriform Aperture Stenosis as a rare manifestation of Trisome 8 Mosaicsm: a case report
    Norhafizah, S., Shifa, Z., Sitti Farhana, J., Marina, M.B.
    Medicine & Health, 2016;11(2):303-307.
    MyJurnal
    Congenital Nasal Pyriform Aperture Stenosis (CNPAS) is an extremely rare cause of
    nasal airway obstruction. Clinically, it mimics choanal atresia in neonate. It needs
    to be differentiated because management differs from each. Pyriform aperture is
    located at the most anterior part of the nose and is always the narrowest region
    of the nasal cavity. Therefore, nasal obstruction can easily occur if there is slight
    decrease in its cross sectional area. CNPAS rarely presents alone. Usually, it arises
    together with a midline developmental defect such as holoprosencephaly or
    pituitary defect. We present the first ever reported case of CNPAS, in association
    with Trisomy 8 Mosaicsm (T8M).
  2. Bilateral Second Arch Branchial Fistula-A Case Report
    Goh LC, Norain RS, Shifa Z, Manuel AM
    Iran J Otorhinolaryngol, 2019 Nov;31(107):383-386.
    PMID: 31857983 DOI: 10.22038/ijorl.2019.35910.2186
    Introduction: Branchial arch anomalies represent defects in embryological developments whereby parts of the branchial arch persist in the head and neck regions as sinuses, fistulas, or cysts. These anomalies usually present as a unilateral lesion in the head and neck of young adults and children, which are excised upon the emergence of complications.

    Case Report: Herein, we presented a rare case of a 4-year-old child, who had been diagnosed with a complete bilateral second arch branchial fistula. The excision was made using the bilateral stepladder approach and tonsillectomy.

    Conclusion: The bilateral stepladder approach was a feasible method in excising a complete bilateral branchial fistula. However, larger-scale studies should be conducted on the surgical techniques of bilateral branchial fistulae excision in order to optimize the cosmetic outcome of the surgery.

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