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Long-term results of neonates with nasal deviation: a prospective study over 12 years
Insights
Intrauterine nasal deviation in newborns is rare but can persist into childhood. Long-term follow-up revealed a significant rate of nasal deviation and malocclusion in affected children.
Area of Science:
- Otolaryngology
- Pediatrics
- Developmental Biology
Background:
- Intrauterine-acquired nasal deviation is infrequently documented with long-term healing outcomes.
- Previous literature shows limited data on the natural course and resolution of congenital nasal deviations.
Purpose of the Study:
- To prospectively investigate the long-term healing and outcomes of intrauterinely acquired nasal deviation.
- To assess the prevalence and persistence of nasal deviation and associated conditions in children after 11-12 years.
Main Methods:
- Prospective study of 3425 neonates born between 1980-1981 at the University Hospital of Ulm.
- Otorhinolaryngological examination, photographic documentation, and acoustic rhinometry were used for follow-up assessments.
- Reexamination of 14 children with documented intrauterine nasal deviation after 11-12 years.
Main Results:
- 29 neonates (0.86%) presented with intrauterine nasal deviation.
- Of 14 reexamined children, 9 had a straight nose, while 5 (36%) still showed nasal pyramid deviation.
- A high incidence of malocclusions was observed in 13 out of 14 children.
Conclusions:
- Intrauterine nasal deviation can have persistent effects on nasal structure into childhood.
- Congenital nasal deviation is associated with a high rate of malocclusion, warranting further investigation.
- Long-term follow-up is crucial for understanding the developmental trajectory of congenital nasal deformities.
Abstract:
In the literature of the past 100 years only a few cases with documented long-term healing of intrauterinely acquired nasal deviation could be found. Therefore we prospectively investigated 3425 children who were born between 1980 and 1981 in the Obstetric Department of the University Hospital of Ulm. In this group 29 neonates (0.86%) showed a deviation of the bony and cartilaginous nose related to intrauterine injury. After a period of 11-12 years we could reexamine 14 children by otorhinolaryngological examination, photographic documentation of the face and acoustic rhinometry. After 11-12 years nine children presented a straight nose and five children (36%) showed a deviation of the nasal pyramid to the same side as found at birth--markedly in two girls and slightly in three girls. Unexpectedly high was the rate of malocclusions, namely in 13 out of 14 children.