Iatrogenic Nasal Vestibular Stenosis: A Rare Cause of Apnea
Journal Title: Journal of Quality in Health Care & Economics (JQHE) - Year 2018, Vol 1, Issue 1
Abstract
Nasal vestibular stenosis is a rare complication following supportive care in premature infants, causing airway and feeding difficulties in the obligate nasal breather. The imputation of the nasal continuous positive airway pressure (CPAP) in this type of complication has been increasingly described since this ventilatory mode provides an effective alternative and is routinely used at many neonatal resuscitation care units (NRCU). In the present study we describe a case of a premature neonate with severe apneas since the age of 21 days due to iatrogenic nasal synechia, following use of nasal CPAP for respiratory distress that was successfully repaired with endoscopic lysis and repeated dilatations.
Authors and Affiliations
Nasal vestibular stenosis is a rare complication following supportive care in premature infants, causing airway and feeding difficulties in the obligate nasal breather. The imputation of the nasal continuous positive airway pressure (CPAP) in this type of complication has been increasingly described since this ventilatory mode provides an effective alternative and is routinely used at many neonatal resuscitation care units (NRCU). In the present study we describe a case of a premature neonate with severe apneas since the age of 21 days due to iatrogenic nasal synechia, following use of nasal CPAP for respiratory distress that was successfully repaired with endoscopic lysis and repeated dilatations.
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