Nasal Obstruction in the Infant

Samantha Frank; Scott R Schoem

doi:10.1016/j.pcl.2021.12.002

Nasal Obstruction in the Infant

Pediatr Clin North Am. 2022 Apr;69(2):287-300. doi: 10.1016/j.pcl.2021.12.002.

Authors

Samantha Frank¹, Scott R Schoem²

Affiliations

¹ Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, USA. Electronic address: sfrank@uchc.edu.
² Connecticut Children's, 282 Washington Street, Hartford, CT 06106, USA.

PMID: 35337540
DOI: 10.1016/j.pcl.2021.12.002

Abstract

Neonatal nasal obstruction is common in both the hospital and clinic settings. Causes can range from rhinitis to congenital masses, with a wide variety of congenital nasal masses described. A complete history and physical examination are necessary for correct diagnosis and management. Arhinia and bilateral choanal atresia will present with complete obstruction leading to forced mouth breathing. Partial obstruction will require assessment of nasal patency with possible nasal endoscopy and imaging. Medical and surgical options for treatment are discussed.

Keywords: Congenital nasal masses; Nasal obstruction; Nasal stenosis; Neonatal rhinitis.

Publication types

Review

MeSH terms

Choanal Atresia* / complications
Choanal Atresia* / diagnosis
Choanal Atresia* / surgery
Endoscopy
Humans
Infant
Infant, Newborn
Nasal Obstruction* / diagnosis
Nasal Obstruction* / etiology
Nasal Obstruction* / surgery
Nose