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作者信息

AlWatban Zaki, Nasser Mai, Al Abdullah Amal, Shajira Eman, Al Shehabi Mohammad

机构信息

Ministry of Health, Riyadh, Kingdom of Saudi Arabia.

Otorhinolaryngology, Head and Neck Surgery Department, Royal Medical Service, Manama, Bahrain.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):510-520. doi: 10.1007/s12070-024-05154-0. Epub 2024 Nov 20.

DOI:10.1007/s12070-024-05154-0
PMID:40070994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11890914/
Abstract

UNLABELLED

Congenital nasal pyriform aperture stenosis (CNPAS) is a rare disorder that causes airway obstruction in newborns and children. Patients with CNPAS mainly present with nasal obstruction, respiratory distress, feeding difficulties, and/or failure to thrive. Here, we present the case of a 1-day old male baby born with tachypnea, nasal obstruction, and congestion. Clinical examination revealed subcostal retraction and nasal obstruction. Nasal examination revealed an inability to pass the neonatal scope bilaterally and narrowing of the nostrils. Imaging revealed an isolated narrowed pyriform aperture of 4.5 mm. The patient was treated conservatively, and he showed significant improvement.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-024-05154-0.

摘要

未标注

先天性鼻梨状孔狭窄(CNPAS)是一种罕见疾病,可导致新生儿和儿童气道阻塞。CNPAS患者主要表现为鼻塞、呼吸窘迫、喂养困难和/或生长发育迟缓。在此,我们报告一例1日龄男婴,出生时即出现呼吸急促、鼻塞和充血。临床检查发现肋下凹陷和鼻塞。鼻腔检查显示双侧无法通过新生儿鼻内镜,鼻孔变窄。影像学检查显示梨状孔孤立性狭窄,直径为4.5毫米。该患者接受了保守治疗,并取得了显著改善。

补充信息

在线版本包含可在10.1007/s12070-024-05154-0获取的补充材料。

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本文引用的文献

1
Congenital Nasal Pyriform Aperture Stenosis.先天性鼻梨状孔狭窄
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3953-3955. doi: 10.1007/s12070-023-03983-z. Epub 2023 Jun 22.
2
Congenital nasal pyriform aperture stenosis; our experience of 34 cases.先天性鼻前孔狭窄;34 例报告。
Int J Pediatr Otorhinolaryngol. 2023 Mar;166:111491. doi: 10.1016/j.ijporl.2023.111491. Epub 2023 Feb 27.
3
An infrequent cause of neonatal upper airway obstruction: Congenital nasal pyriform aperture stenosis presenting to a remote facility.新生儿上气道梗阻的罕见病因:先天性鼻梨状孔狭窄于偏远医疗机构就诊病例
Pediatr Investig. 2021 Jun 21;5(3):244-246. doi: 10.1002/ped4.12269. eCollection 2021 Sep.
4
Balloon dilation and rapid maxillary expansion: a novel combination treatment for congenital nasal pyriform aperture stenosis in an infant.球囊扩张和上颌快速扩张:一种治疗婴儿先天性鼻梨状孔狭窄的新联合治疗方法。
Ital J Pediatr. 2021 Sep 16;47(1):189. doi: 10.1186/s13052-021-01124-2.
5
Congenital nasal pyriform aperture stenosis: Diagnosis and surgical approach (with video).先天性鼻梨状孔狭窄:诊断与手术入路(附视频)
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Aug;138 Suppl 1:31-32. doi: 10.1016/j.anorl.2020.10.015. Epub 2021 Jun 22.
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CT findings of congenital neonatal pyriform aperture stenosis.先天性新生儿梨状孔狭窄的CT表现
Oxf Med Case Reports. 2021 May 24;2021(5):omab018. doi: 10.1093/omcr/omab018. eCollection 2021 May.
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Novel maxillary enlargement technique in congenital nasal pyriform aperture stenosis: a case report and literature review.先天性鼻梨状孔狭窄的新型上颌骨扩大技术:一例报告及文献综述
BMJ Case Rep. 2021 May 7;14(5):e240149. doi: 10.1136/bcr-2020-240149.
8
Congenital Nasal Pyriform Aperture Stenosis: Evidence of Premature Fusion of the Midline Palatal Suture.先天性鼻前孔狭窄:中线上腭缝过早融合的证据。
AJNR Am J Neuroradiol. 2021 Jun;42(6):1163-1166. doi: 10.3174/ajnr.A7056. Epub 2021 Mar 25.
9
Conservative management of congenital nasal pyriform aperture stenosis.先天性鼻梨状孔狭窄的保守治疗
BMJ Case Rep. 2021 Mar 16;14(3):e241187. doi: 10.1136/bcr-2020-241187.
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Int J Pediatr Otorhinolaryngol. 2021 May;144:110670. doi: 10.1016/j.ijporl.2021.110670. Epub 2021 Mar 6.