A year ago I reported on a method of treating nasopharyngeal atresia,1 stating that it gave an excellent result when the tissues were not so scarred but that they
Rubber catheter in place.
could be slightly depressed by passing a no. 4 frontal sinus dilator through the nose before incising the pharynx in a horizontal direction.
Ten months ago I examined a woman, aged 24 years, who had had complete nasopharyngeal atresia for twelve years as the result of syphilis. In this case the pharyngeal tissues were a mass of hard scar tissue, which could not be moved or indented by passing a nasofrontal sound through the nose.
A horizontal incision opening into the nasopharynx was made in the scar tissue. In order to maintain this opening until new membrane could grow over the freshly cut edges of the incision, a rubber catheter was passed through the nose and into
GOODYEAR HM. NASOPHARYNGEAL ATRESIA: Description of an Operation. Arch Otolaryngol. 1940;32(3):522–523. doi:10.1001/archotol.1940.00660020526012
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: