Abstract Obstetricians, anesthetists, and pediatricians are beginning to recognize and diagnose more frequently now than heretofore the presence of a bilateral atresia of the posterior nares as the cause of suffocation in the newborn. When these cases were referred to the otolaryngologist to create immediately a nasal airway, the difficulty encountered in an attempt to do so usually ended in failure. They were at a loss to know how to handle the case, with the result that the infant died. The fact that no definite standard surgical approach for its correction had been employed is the reason for this failure. The purpose of this paper is to describe a technique of intranasal approach which is simple, effective, and not destructive to the normal anatomy and promptly establishes a clear nasal airway within the first 24 hours after birth. My experience is based on three cases, over a three-year period, which were References 1. Beinfield, H. H.: Congenital Bilateral Bony Atresia of the Posterior Nares in a One-Month Premature Infant Who Survived: Experiences with a Case , J. Pediat. 45:679-687 ( (Dec.) ) 1954.Crossref 2. Beinfield, H. H.: The Unsolved Problem of Infant Suffocation , New York J. Med. 57:3160-3161 ( (Oct. 1) ) 1957. 3. Thomson, St. C., and Negus, V. H.: Diseases of Nose and Throat , New York, AppletonCentury-CrofCrofts, Inc., 1937, p. 70. 4. Morrow, R. C.: Bilateral Congenital Choanal Atresia: A Report of 3 Cases Corrected Surgically in the Newborn , Ann. Otol. Rhin. & Laryng. 66:135-138 ( (March) ) 1957. 5. Beinfield, H. H.: Atresia of the Posterior Nares in the Infant: Relationship to Suffocation and Its Prevention , Eye, Ear, Nose & Throat Month. 34:575-579 ( (Sept.) ) 1955.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Jul 1, 1959