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Clinical Problem Solving
October 2014

Infant With Persistent Nasal Obstruction

Author Affiliations
  • 1School of Medicine, University of Utah, Salt Lake City,
  • 2Division of Otolaryngology–Head and Neck Surgery, University of Utah, Salt Lake City
  • 3Department of Radiology, University of Utah, Salt Lake City
JAMA Otolaryngol Head Neck Surg. 2014;140(10):983-984. doi:10.1001/jamaoto.2014.1823

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.