Abstract Bilateral congenital stenosis of the nasal passages may be severe enough to cause death from asphyxia soon after birth. If the infant overcomes this difficulty it may become emaciated and finally die of starvation because of inability to nurse and breathe through the mouth at the same time. The paucity of reference to this condition in medical literature leads one to conclude that this development anomaly is exceedingly rare. Report of Case A female infant, born at full term, Jan. 19, 1956, was observed to be in severe respiratory distress, because of inability to breathe through the nose. Her color was extremely dusky and she was gasping, with deep subcostal retractions. Intermittent crying, with improved respiratory exchange through the open mouth, was accompanied by marked improvement in color. With this improvement in airway the infant attempted to breathe quietly. The tongue, however, would press up against the palate and obstruct References 1. Phelps, K. A.: Congenital Occlusion of the Choanae , Ann. Otol. Rhin. & Laryng. 35:143-151 ( (March) ) 1926. 2. Mayer, E., in discussion of Richardson, C. W.: Congenital Occlusion of the Postnasal Orifices, with Report of a Case , Tr. Am. Laryng. A., 35th Annual Meeting ( (May 5) -7), 1913, pp. 226-231. 3. Owens, H.: Observations in Treating 7 Cases of Choanal Atresia by Transpalatine Approach , Laryngoscope 61:304-319 ( (April) ) 1951. 4. Schaeffer, J. P.: The Nose, Paranasal Sinuses, Nasolacrimal Passageways, and Olfactory Organ in Man , Philadelphia, P. Blakiston's Son & Co., 1920, pp. 41, 42. 5. Ronaldson, T. R.: Note on a Case of Congenital Closure of the Posterior Nares , Edinburgh M. J. 26:1035-1036, 1880-1881. 6. Richardson, C. W.: Congenital Atresia of the Postnasal Orifice , Lancet 2:439-444 ( (Aug. 15) ) 1914. 7. McKibben, B. G.: Congenital Atresia of the Nasal Choanae , Laryngoscope 67:731-755 ( (Aug.) ) 8. Errata , 986 ( (Oct.) ) 1957. 9. Schaeffer, J. P.: Personal communication to the author. 10. Reeves, D. L.: Craniofacial Dysostosis of Crouzon—The Surgical Treatment of Oxycephaly , in Brenneman's Practice of Pediatrics , edited by I. McQuarrie, Hagerstown, Md., W. F. Prior Co., 1957, Vol. IV, Chap. 25A, p. 1. 11. Burch, E. P.: Hereditary Craniofacial Dysostosis (Crouzon's Disease) , in Brennemann's Practice of Pediatrics , edited by I. McQuarrie, Hagerstown, Md., W. F. Prior Co., 1957, Vol. IV, Chap. 38, pp. 64, 65. 12. Holt, L. E., Jr., and McIntosh, R.: Pediatrics , Ed. 12, New York, Appleton-Century-Crofts, Inc., 1953, pp. 784, 785.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Jan 1, 1959