Esperas Amanda, Marlow Rachel, Sebbens Danielle
J Pediatr Health Care. 2025 Jan-Feb;39(1):e1-e4. doi: 10.1016/j.pedhc.2024.06.017. Epub 2024 Sep 21.
Congenital nasal pyriform aperture stenosis (CNPAS) is a rare but potentially life-threatening cause of upper airway obstruction in infants. It was first described in 1988 and 1989 in the radiology and otolaryngology literature. Congenital airway obstruction affects up to 1 in 5,000 infants, and many of these obstructions result from choanal atresia. CNPAS is estimated to occur 1 in 25,000 live births. This case report describes a neonate with acute respiratory distress and obstructive breathing pattern relieved by opening her oral airway and maintained with the McGovern nipple decreasing ventilator days during hospitalization with viral bronchiolitis.
先天性鼻梨状孔狭窄（CNPAS）是婴儿上呼吸道梗阻的一种罕见但可能危及生命的原因。它于1988年和1989年首次在放射学和耳鼻喉科文献中被描述。先天性气道梗阻影响多达每5000名婴儿中的1名，其中许多梗阻是由后鼻孔闭锁引起的。据估计，CNPAS在每25000例活产中发生1例。本病例报告描述了一名患有急性呼吸窘迫和阻塞性呼吸模式的新生儿，通过打开其口腔气道缓解，并在病毒性细支气管炎住院期间使用麦戈文奶嘴维持，减少了呼吸机使用天数。
