| Neonatal iatrogenic nasal obstruction. | |
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MedLine Citation:
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PMID: 15081239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To define the etiology, management and prevention of iatrogenic neonatal nasal obstruction caused by intra-nasal synechia (INS). DESIGN: Case series retrospectively reviewed, years 2001-2002. SETTING: Tertiary care children's hospital. PATIENTS: Four neonates, ages 2 weeks to 3 months, evaluated for nasal obstruction and consequent respiratory distress. Endoscopic findings were of intra-nasal synechia caused by previous intra-nasal invasive interventions. MAIN OUTCOME MEASURES: The procedures inciting the formation of synechia, possible management problems leading to synechia formation, clinical presentation, treatment and results of treatment were documented. RESULTS: Initial incorrect diagnosis and management with an inappropriate intervention was found to be a possible cause of nasal obstruction due to synechia formation in three of these patients (two with associated craniofacial anomalies). In one patient complete nasal obstruction due to synechia was a result of continuous positive airway pressure (CPAP) intra-nasal catheters. Treatment including endoscopic synechiolysis resulted in an improved airway but not a complete cure. All patients required multiple procedures to attain a satisfactory nasal airway. CONCLUSION: Careful initial diagnosis and management of neonatal nasal obstruction may prevent severe complications caused by synechia in the nasal cavity. |
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Authors:
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Ari DeRowe; Roee Landsberg; Gadi Fishman; Doron Halperin; Dan Fliss |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of pediatric otorhinolaryngology Volume: 68 ISSN: 0165-5876 ISO Abbreviation: Int. J. Pediatr. Otorhinolaryngol. Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-04-14 Completed Date: 2004-09-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003603 Medline TA: Int J Pediatr Otorhinolaryngol Country: Ireland |
Other Details:
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Languages: eng Pagination: 613-7 Citation Subset: IM |
Affiliation:
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Pediatric Otolaryngology Unit, "Dana" Children's Hospital, Tel-Aviv Medical Center, 6 Weitzman St., Tel-Aviv 64239, Israel. aderowe@post.tau.ac.il |
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| MeSH Terms | |
Descriptor/Qualifier:
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Dilatation
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adverse effects* Female Humans Iatrogenic Disease* Infant Infant, Newborn Intubation / adverse effects* Nasal Obstruction / diagnosis, etiology*, therapy Stents / adverse effects* |
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