Congenital nasal obstruction should be suspected if a neonate shows a number of clinical findings. Neonates and young infants are obligate nasal breathers and significant nasal obstruction will affect their breathing.


Clinical findings may include:

(1) respiratory distress with normal lungs and airways

(2) tachypnea

(3) feeding intolerance, with exacerbation of respiratory distress when feeding

(4) nasal congestion

(5) alternating episodes of cyanosis

(6) failure to thrive

(7) inability to pass a nasogastric tube

(8) relief of symptoms when crying

(9) worsening of respiratory symptoms with upper respiratory tract infection


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