METHODS: We present the case of a one-month-old Caucasian boy with CNPAS. He presented to the Emergency Department of the Bambino Gesù Pediatric Hospital with nasal obstruction, noisy breathing, feeding difficulties, and suspected sleep apnoea. During hospitalisation, he underwent overnight pulse oximetry, airway endoscopy, and maxillofacial computed tomography (CT); the final diagnosis was CNPAS with moderate obstructive sleep apnoea syndrome. We successfully treated the patient using an innovative strategy that involved collaboration between ear-nose-and-throat surgeons and orthodontists.
CONCLUSIONS: A combination of minimally invasive balloon surgery and placement of a palatal device may successfully treat CNPAS; it may also treat other types of nasal bone stenosis. Future studies may allow the development of practice consensus treatment strategies.
方法:我们介绍了一个1个月大的白人男孩患有CNPAS的病例。他因鼻塞而向班比诺·格斯图儿科医院急诊科就诊,嘈杂的呼吸,喂养困难,怀疑是睡眠呼吸暂停.住院期间,他接受了夜间脉搏血氧饱和度检查,气道内窥镜检查,和颌面部计算机断层扫描(CT);最终诊断为CNPAS伴中度阻塞性睡眠呼吸暂停综合征。我们使用创新策略成功治疗了患者,该策略涉及耳鼻喉外科医师和正畸医师之间的合作。
结论:微创球囊手术和放置腭装置的组合可以成功治疗CNPAS;它也可以治疗其他类型的鼻骨狭窄。未来的研究可能允许实践共识治疗策略的发展。