Journal of Quality in Health Care & Economics (JQHE)

ISSN: 2642-6250

Case Report

Iatrogenic Nasal Vestibular Stenosis: A Rare Cause of Apnea

Authors: Fairouz A*, Takoua B and Samia K

DOI: 10.23880/jqhe-16000106

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.

Keywords: Neonate; Apnea; Nasal CPAPA; Synechia

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