Surgery for Bilateral Bony Atresia of the Posterior Nares in the Newborn

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Abstract
Obstetricians, anesthetists, and pediatricians are beginning to recognize and diagnose more frequently now than heretofore the presence of a bilateral atresia of the posterior nares as the cause of suffocation in the newborn. When these cases were referred to the otolaryngologist to create immediately a nasal airway, the difficulty encountered in an attempt to do so usually ended in failure. They were at a loss to know how to handle the case, with the result that the infant died. The fact that no definite standard surgical approach for its correction had been employed is the reason for this failure. The purpose of this paper is to describe a technique of intranasal approach which is simple, effective, and not destructive to the normal anatomy and promptly establishes a clear nasal airway within the first 24 hours after birth. My experience is based on three cases, over a three-year period, which were

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