Treatment strategy for iatrogenic nasal vestibular stenosis in young children

Smith, Lee P.; Roy, Soham

doi:10.1016/j.ijporl.2006.01.015

Cited by 39 publications

(30 citation statements)

References 19 publications

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“…The immaturity of the skin could be implicated in the pathogenesis of such trauma 7 20. Cosmetic or functional sequelae of nasal trauma due to nCPAP have been reported with an unforeseeable need for surgery 9 10 21. No infant in our population needed surgical repair so far, but ulterior interventions may be required in two of them who kept a scar after several months.…”

Section: Discussionmentioning

confidence: 91%

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Nasal trauma due to continuous positive airway pressure in neonates

Fischer

Bertelle

Hohlfeld

et al. 2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

177

157

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Section: Discussionmentioning

confidence: 91%

“…Nasal trauma represent a source of discomfort for patients, possible site of infection and a risk of long term functional or cosmetic sequelae 8–10. There is few and heterogeneous data in the literature on this topic 11–16.…”

Section: Introductionmentioning

confidence: 99%

Nasal trauma due to continuous positive airway pressure in neonates

Fischer

Bertelle

Hohlfeld

et al. 2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

177

157

View full text Add to dashboard Cite

show abstract

“…Similarly, Smith and Roy 13 described 2 cases of vestibular stenosis after the use of nasal CPAP. The first case described was a 4-month-old infant, premature at 26 weeks’ gestation, who was found to have bilateral 80% nasal vestibular stenosis and significant cosmetic deformity.…”

Section: Commentmentioning

confidence: 96%

Effects of Nasal Continuous Positive Airway Pressure and Cannula Use in the Neonatal Intensive Care Unit Setting

Jatana¹,

Oplatek²,

Stein³

et al. 2010

Arch Otolaryngol Head Neck Surg

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Objective To investigate the effects of nasal continuous positive airway pressure (CPAP) and cannula use in the neonatal intensive care unit. Design Cross-sectional study. Setting Tertiary care children’s hospital. Patients One hundred patients (200 nasal cavities), younger than 1 year, who received at least 7 days of nasal CPAP (n = 91) or cannula supplementation (n = 9) in the neonatal intensive care unit. Interventions External nasal examination and anterior nasal endoscopy with photographic documentation. Main Outcome Measures The incidence and characteristics of internal and external nasal findings of patients with nasal CPAP or cannula use. Results Nasal complications were seen in 12 of the 91 patients (13.2%) with at least 7 days of nasal CPAP exposure, while no complications were seen in the 9 patients with nasal cannula use alone. The external nasal finding of columellar necrosis, seen in 5 patients (5.5%), occurred as early as 10 days after nasal CPAP use. Incidence of intranasal findings attributed to CPAP use, in the 182 nostrils examined, included ulceration in 6 nasal cavities (3.3%), granulation in 3 nasal cavities (1.6%), and vestibular stenosis in 4 nasal cavities (2.2%). Intranasal complications were seen as early as 8 to 9 days after nasal CPAP administration. Nasal complications from CPAP were associated with lower Apgar scores at 1 (P = .02) and 5 (P = .06) minutes. Conclusions External or internal complications of nasal CPAP can be relatively frequent (13.2%) and can occur early, and patients with lower Apgar scores may be at higher risk. Close surveillance for potential complications should be considered during nasal CPAP use.

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“…[1,2] Nasal trauma represent a source of discomfort for patients, possible site of infection and a risk of long term functional or cosmetic sequelae. [3][4][5] Nasal traumas have been described in case reports. Yong et al have studied the effect of mask versus cannula in the development of nasal trauma and found no statistically significant difference between these two devices.…”

Section: Introductionmentioning

confidence: 99%