Hallikainen Joona, Seppa Juha, Kellokoski Jari
Oral and Maxillofacial Diaseases, Kuopio University Hospital, Kuopio, Finland
Head and Neck center, Kuopio University Hospital, Kuopio, Finland.
BMJ Case Rep. 2021 May 7;14(5):e240149. doi: 10.1136/bcr-2020-240149.
Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonate nasal obstruction. Because newborns are natural nasal breathers, urgent treatment may be needed. CNPAS is diagnosed by clinical symptoms and signs, and CT. In severe cases, surgical approach is needed. The most often used approach is widening of pyriform aperture via sublabial incision with nasal tubing. We report a novel surgical approach as a curative treatment for CNPAS by immediate transverse enlargement of the maxilla. We also review current literature of the condition focusing on surgical management of the disease.
先天性鼻梨状孔狭窄（CNPAS）是新生儿鼻塞的罕见原因。由于新生儿是自然的鼻呼吸者，可能需要紧急治疗。CNPAS通过临床症状、体征及CT进行诊断。在严重病例中，需要采取手术方法。最常用的方法是经唇下切口置入鼻管扩大梨状孔。我们报告一种通过立即横向扩大上颌骨来治疗CNPAS的新手术方法。我们还综述了关于该疾病状况的当前文献，重点关注其手术治疗。
