Since the publication of my article,1Surgery for Bilateral Bony Atresia of the Posterior Nares in the Newborn, I have become aware of certain dangers with which everyone using this technique should be familiar, for an uneventful successful result. The procedure is nevertheless anatomically and surgically correct, and it does not destroy any of the normal anatomy. It is primarily recommended during the first 24 hours after birth.
Judging by the increased interest in choanal atresia in the newborn, it is beginning to be considered to exist more frequently than was previously supposed. Baker, Jr. et al.2 stated, in reporting 15 cases of atresia of the posterior nares, that many newborn die from asphyxia, due to lack of proper diagnosis and recognition. I wholeheartedly agree with this assumption. Choanal atresia in the newborn is more prevalent than has been imagined. However, when recognized during the imminent emergency period
BEINFIELD HH. Bilateral Choanal Atresia in the Newborn: Surgical Dangers to Be Avoided. Arch Otolaryngol. 1961;73(6):659–661. doi:10.1001/archotol.1961.00740020673008
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