Congenital nasal stenosis in neonates

Congenital midnasal stenosis in an infant

“…In patients with structural anomalies causing nasal obstruction the commonest causes are posterior choanal stenosis or atresia and bilateral bony stenosis, with intranasal tumours being very rare [8].…”

“…A patient in respiratory distress due to nasal obstruction can be managed with McGovern nipple fixed using an umbilical tape [8]. If this is not available an oral airway can be used to keep the mouth open which will relieve the respiratory distress.…”

“…Before feeding in patients with mucosal oedema, nasal patency can be improved using saline drops or if this fails with decongestant nasal drops [8]. Indications for surgical management are nasal airway obstruction resulting in sleep apnoea, repeated intubation, failure of extubation, feeding difficulties with cyanosis and failure of conservative management [1].…”

The use of nasal trumpet as a non-invasive treatment method in congenital nasal stenosis

“…This narrowness, which is generally unilateral, originates from disproportionate development of the lateral wall of the nasal cavity or advanced septum deviation 7 . In patients with nasal obstruction-related respiratory distress, the McGovern pacifier and oral airway can be used as conservative treatment 1 . Indications for surgical treatment in cases of nasal obstruction are nasal airway obstruction leading to sleep apnea, a history of repeated intubation or intolerance of intubation, feeding difficulties with concomitant cyanosis or the failure of the conservative treatments applied 8 .…”

“…Before surgical treatment for midnasal stenosis, there are conservative treatments such as nasal drops and McGovern pacifier in addition to the treatment option of nasal airway which is non-invasive, low-cost, and can be applied easily and quickly 1 .…”