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Neonatal septal deviations.

S E Kent1, A P Reid, E R Nairn

  • 1Walsgrave Hospital, Coventry.

Journal of the Royal Society of Medicine
|March 1, 1988
PubMed
Summary
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Neonatal nasal septal deformity occurs in 2.9% of newborns. Most cases resolve spontaneously, and symptoms are rare, suggesting minimal intervention is needed for this common condition.

Area of Science:

  • Neonatology
  • Pediatric Otolaryngology
  • Anatomy

Background:

  • Neonatal nasal septal deviation is a potential concern for infant health.
  • Understanding the incidence and natural history of this condition is crucial for appropriate clinical management.

Purpose of the Study:

  • To determine the incidence of nasal septal deformity in a neonatal population.
  • To investigate the natural course and resolution of nasal septal deviations.
  • To explore the anatomical factors contributing to neonatal nasal septal deformities.

Main Methods:

  • Prospective review of 1000 consecutive neonates across all races.
  • Clinical examination to identify and classify nasal septal deformities.
  • In vitro compression studies and histological analysis of nasal cavities.

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Main Results:

  • Nasal septal deformity was identified in 2.9% of neonates.
  • Spontaneous resolution occurred in 44% of unmanipulated cases within months.
  • Symptoms associated with deviation were infrequent; manipulation was performed in 35% of cases.
  • Histological findings indicated the vomer's laminae prevent caudal dislocation.

Conclusions:

  • Neonatal nasal septal deformity is relatively common but often self-correcting.
  • Symptomatic presentation is rare, supporting a conservative management approach.
  • Anatomical structures of the neonatal nose play a role in the deformity's presentation and resolution.