Document Detail

Neonatal iatrogenic nasal obstruction.
MedLine Citation:
PMID:  15081239     Owner:  NLM     Status:  MEDLINE    
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.
Ari DeRowe; Roee Landsberg; Gadi Fishman; Doron Halperin; Dan Fliss
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  68     ISSN:  0165-5876     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-09-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  613-7     Citation Subset:  IM    
Pediatric Otolaryngology Unit, "Dana" Children's Hospital, Tel-Aviv Medical Center, 6 Weitzman St., Tel-Aviv 64239, Israel.
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MeSH Terms
Dilatation / adverse effects*
Iatrogenic Disease*
Infant, Newborn
Intubation / adverse effects*
Nasal Obstruction / diagnosis,  etiology*,  therapy
Stents / adverse effects*

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