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Article
December 1954

IMPENDING ASPHYXIA IN AN INFANT FROM NOSE-DROP "REBOUND"

Author Affiliations

ALLIANCE, OHIO

AMA Arch Otolaryngol. 1954;60(6):723-725. doi:10.1001/archotol.1954.00720010741008
Abstract

THE "REBOUND" phenomenon, or swelling of the nasal mucosa, following the use of vasoconstrictor nose drops is well known and has received a considerable amount of attention in the literature.* If the use of the drops is continued it leads to a chronic obstruction of the nose from swelling and drying of the mucosa.3 Less well known is the occurrence of nasal allergy, with swelling and hypersection, in infants under the age of one year. Still less well known is the very strong urge of the newborn and of infants to breathe through the nose exclusively.† The latter phenomenon has been discussed chiefly under articles on bilateral bony choanal atresia.‡ This urge to breathe through the nose should be given wider recognition. One article on clinical investigation of this urge was found.11

A combination of the above three factors confronted a pediatrician, and in turn me, in a recent case. Asphyxia to the point

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