Zanetta Adrián, Rodríguez Hugo, Quiroga Víctor, Cuestas Giselle, Tiscornia Carlos
Servicio de Endoscopia Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires.
Arch Argent Pediatr. 2012 Apr;110(2):152-5. doi: 10.5546/aap.2012.152.
Nasal obstruction in neonates is a potential fatal condition because of their exclusive nasal breathing. The most common congenital causes include choanal atresia, dermoid cyst, glioma and encephalocele. Choanal atresia is the most common congenital nasal anomaly. When bilateral, it presents with respiratory distress at birth. Unilateral atresia is manifested by respiratory failure and unilateral rhinorrhea, and may go along unnoticed. Diagnosis is suspected in the absence of airfow in the nasal cavity and for the inability to advance a nasogastric tube. Diagnosis is confirmed by endoscopic examination and computed tomography. The definitive treatment is surgical, and there are different techniques and surgical approaches. We describe our experience with 7 patients with this disease, successfully treated by transnasal endoscopic technique.
由于新生儿仅通过鼻腔呼吸，鼻阻塞是一种潜在的致命病症。最常见的先天性病因包括后鼻孔闭锁、皮样囊肿、胶质瘤和脑膨出。后鼻孔闭锁是最常见的先天性鼻异常。双侧闭锁时，出生时即出现呼吸窘迫。单侧闭锁表现为呼吸衰竭和单侧鼻溢，可能未被注意到。在鼻腔无气流且无法插入鼻胃管时怀疑诊断。通过内镜检查和计算机断层扫描确诊。 definitive治疗是手术，有不同的技术和手术方法。我们描述了我们对7例该疾病患者的经验，他们通过经鼻内镜技术成功治疗。
