Frank Samantha, Schoem Scott R
Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA.
Connecticut Children's, 282 Washington Street, Hartford, CT 06106, USA.
Pediatr Clin North Am. 2022 Apr;69(2):287-300. doi: 10.1016/j.pcl.2021.12.002.
Neonatal nasal obstruction is common in both the hospital and clinic settings. Causes can range from rhinitis to congenital masses, with a wide variety of congenital nasal masses described. A complete history and physical examination are necessary for correct diagnosis and management. Arhinia and bilateral choanal atresia will present with complete obstruction leading to forced mouth breathing. Partial obstruction will require assessment of nasal patency with possible nasal endoscopy and imaging. Medical and surgical options for treatment are discussed.
新生儿鼻阻塞在医院和门诊环境中都很常见。病因范围从鼻炎到先天性肿块，已有多种先天性鼻肿块的描述。完整的病史和体格检查对于正确诊断和处理是必要的。无鼻和双侧后鼻孔闭锁会表现为完全阻塞，导致强迫性张口呼吸。部分阻塞则需要通过鼻内镜检查和影像学检查来评估鼻腔通畅情况。文中还讨论了治疗的药物和手术选择。
