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August 10, 1940


JAMA. 1940;115(6):475-476. doi:10.1001/jama.1940.02810320055026

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To the Editor:—  Permit me to call your attention to an omission in the special article on Pediatric Emergencies by Dr. Joseph Brennemann, published in the March 16 issue of The Journal, page 956. Asphyxia of the newborn is discussed without mention of the possible occurrence of congenital atresia of the postnasal orifices as a cause. Such "complete bilateral occlusion can cause alarming asphyxia in the newborn. The instinct for nasal breathing in the newborn is so impelling that, unless the mouth is forced open or the choanal occlusion is immediately broken through, asphyxia may result. It is the opinion of many writers (Lebensohn, J. E.: Congenital Atresia of Postnasal Orifices, Ann. Otol., Rhin. & Laryng.32:1128 [Dec.] 1923. Cavanaugh, in discussion on Lebensohn. Clarke, J. P.: Complete Congenital Occlusion of the Posterior Nares, Boston M. & S. J.138:171 [Feb. 24] 1898. Richardson, C. W.: Congenital Osseous

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