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January 1959

Congenital Stenosis of the Nasal Passages: Report of One Case in an Infant Who Also Had Crouzon's Disease

Author Affiliations

U. S. Army
From the Otolaryngology Service, Department of Surgery, Tokyo U. S. Army Hospital, San Francisco. Col. McKibben is currently stationed at William Beaumont Army Hospital, El Paso, Texas.
Capt. Dennis N. Marks. Dr. Marks is now located at 2740 Fulton Ave., Sacramento, Calif.

AMA Arch Otolaryngol. 1959;69(1):95-97. doi:10.1001/archotol.1959.00730030099012

Bilateral congenital stenosis of the nasal passages may be severe enough to cause death from asphyxia soon after birth. If the infant overcomes this difficulty it may become emaciated and finally die of starvation because of inability to nurse and breathe through the mouth at the same time. The paucity of reference to this condition in medical literature leads one to conclude that this development anomaly is exceedingly rare.

Report of Case  A female infant, born at full term, Jan. 19, 1956, was observed to be in severe respiratory distress, because of inability to breathe through the nose. Her color was extremely dusky and she was gasping, with deep subcostal retractions. Intermittent crying, with improved respiratory exchange through the open mouth, was accompanied by marked improvement in color. With this improvement in airway the infant attempted to breathe quietly. The tongue, however, would press up against the palate and obstruct