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JAMA Facial Plastic Surgery Clinical Challenge
January 3, 2019

Nasal Continuous Positive Airway Pressure Injuries

Author Affiliations
  • 1Department of Otolaryngology, State University of New York Downstate Medical Center, New York
  • 2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, State University of New York Downstate Medical Center, New York
JAMA Facial Plast Surg. 2019;21(2):165-166. doi:10.1001/jamafacial.2018.1643

A 20-year-old man presented with constant right nasal obstruction since childhood. He was born prematurely and required admission to the neonatal intensive care unit (NICU) and airway support with nasal continuous positive airway pressure (nCPAP). His present examination showed narrowing of the right nostril with medialization of the ala, a scar of the right soft tissue facet, and depression of the alar rim, which resulted in a nostril dimension 50% smaller than the area of the normal left side (Figure 1). Nasal endoscopy showed no scarring of the nasal vestibule and no turbinate hypertrophy or septal deviation.

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