Zanetta Adrián, Rodríguez Hugo, Cuestas Giselle, Tiscornia Carlos
Servicio de Endoscopia Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
Arch Argent Pediatr. 2010 Dec;108(6):552-5. doi: 10.1590/S0325-00752010000600012.
Stertor is a noise generated by the disturbance of the air flow passing through the nose. Its main cause -in newborns and infants- is inflammatory or infectious rhinitis. Congenital, neoplastic, traumatic or iatrogenic causes are less frequent. Congenital stenosis of the pyriform aperture is a rare etiology of nasal obstruction in the neonates. Early diagnosis and appropriate treatment are essential because of their exclusive nasal breathing. Suspicion might arise when a difficulty or even an impossibility to pass a probe of 2.8 mm (K30 tube) through anterior nares, exists. Diagnosis should be confirmed by a computed tomography of the craniofacial massif. The therapeutic behavior will depend on the severity of symptoms. We describe our experience with nine patients with this condition whose surgical correction was successful.
鼾呼吸是气流通过鼻腔受阻产生的声音。在新生儿和婴儿中，其主要原因是炎性或感染性鼻炎。先天性、肿瘤性、创伤性或医源性原因则较为少见。梨状孔先天性狭窄是新生儿鼻塞的罕见病因。由于新生儿仅通过鼻腔呼吸，早期诊断和恰当治疗至关重要。当存在难以甚至无法将2.8毫米的探子（K30管）通过前鼻孔的情况时，可能会引发怀疑。诊断应通过颅面部断层扫描来确认。治疗方式将取决于症状的严重程度。我们描述了9例患此病且手术矫正成功的患者的治疗经验。
