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December 1940


Arch Otolaryngol. 1940;32(6):1088-1089. doi:10.1001/archotol.1940.00660021096011

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I should like to report a case of congenital atresia of the posterior nares, in which operation was performed and patency achieved.

On May 7, 1938, M. C., aged 11 years, presented herself with a history of nasal obstruction and nasal discharge since birth. Examination revealed a septal deviation almost completely occluding the left nasal chamber. The right nasal chamber was roomy. The nose was full of mucoid secretion. An applicator placed in each side of the nose failed to enter the nasopharynx. A colored solution instilled into each nostril also failed to come through.

Posterior rhinoscopic examination with a Beck nasopharyngoscope introduced through the mouth showed a normal outline of the posterior nares and of the posterior extremity of the septum, but a few millimeters anteriorly a septum occluded both openings completely. The palatal arch was high. There were corrective appliances on the teeth. The tonsils were enlarged. A

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