NASOPHARYNGEAL ATRESIA

1 July 1927

journal article
research article
Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery

Vol. 6 (1) , 1-27
https://doi.org/10.1001/archotol.1927.00610010009001

Abstract

Careful search of the literature on nasopharyngeal atresia as far back as 1890 yielded surprisingly little material and few completely reported cases. The end-results, after a sufficient period to justify conclusions, were generally wanting. J. Guisez¹ reports three cases, omitting the end-results. Severe inflammation and ulceration in the region of the subsequent atresia are given as causes. He states that atresia may follow burns from boiling liquids, chemical caustics, diphtheria, syphilis and trauma during the removal of tonsils and adenoids. The treatment advocated is the separation of the velum palati from the posterior pharyngeal wall and the insertion of a collar-button rubber obturator, followed later by graduated dilatation. In an interesting paper, New and Vinson² mention nasopharyngeal atresia as one type of atresia occurring in the oropharynx, laryngopharynx and nasopharynx. In the oropharynx, the soft palate may be scarred down to the base of the tongue;

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