A 7-month-old boy presented with bilateral nasal obstruction and persistent otitis media. He had considerable difficulty breathing through his nose since birth that had progressively worsened. Bilateral ear infections had persisted through 2 rounds of antibiotics. He had gained weight appropriately for his age and had been in general good health. His mother and maternal grandmother had been diagnosed as having a rare autosomal dominant condition characterized by distinctive overgrowth and abnormal hardening of craniofacial bones. Both mother and grandmother had facial nerve weakness.
Taggart MG, Crockett DJ, Meier JD, Wiggins RH. Infant With Persistent Nasal Obstruction. JAMA Otolaryngol Head Neck Surg. 2014;140(10):983-984. doi:10.1001/jamaoto.2014.1823