Congenital bilateral nasal obstruction in neonate: Case report with review of literature for congenital nasal pyriform aperture stenosis (CNPAS) and differential diagnosis and management.

National journal of maxillofacial surgery Pub Date : 2024-05-01 Epub Date: 2024-07-24 DOI:10.4103/njms.njms_49_23
Anupama Satpathy, Arjun Dasgupta, Nittala Venkata Krishna Mohan, Chirajit Dutta
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Abstract

Congenital nasal pyriform aperture stenosis is a newly defined clinical entity that causes nasal airway obstruction in neonates due to the narrowing of the pyriform aperture, which is the narrowest and most anterior portion of the nasal airway. As newborns are obligate nasal breathers except when crying, a child with bilateral nasal pyriform aperture obstruction presents as an acute airway emergency, resulting in apnea and cyanosis. This entity should be kept in the differential diagnosis of any neonate or infant presenting with signs and symptoms of upper airway obstruction.

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新生儿先天性双侧鼻腔阻塞:先天性鼻梨状孔狭窄(CNPAS)病例报告及文献综述、鉴别诊断和处理。
先天性鼻梨状孔狭窄是一种新定义的临床病症,由于鼻梨状孔是鼻腔气道最狭窄和最前的部分,其狭窄会导致新生儿鼻腔气道阻塞。由于新生儿除哭闹外必须用鼻呼吸,因此双侧鼻梨状孔阻塞的患儿会出现呼吸道急症,导致呼吸暂停和发绀。任何出现上呼吸道阻塞症状和体征的新生儿或婴儿都应将这种疾病列入鉴别诊断。
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