“…The differential diagnosis must include respiratory pathology (hyaline membrane disease, transient tachypnoea of the newborn, meconium aspiration syndrome, ectopic air and other less common causes such as obstruction airway) as well as extra‐respiratory causes (heart disease, metabolic disorders, anaemia, hypothermia and sepsis) 3 . Newborns have exclusive nasal breathing; therefore, an obstruction at this level can lead to severe respiratory distress 2 .…”