The authors retrospectively evaluated the efficacy of heated humidified high-flow nasal cannula (HFNC) in neonates with nasal stenosis for this study. Of the six infants included in the study, five had congenital pyriform aperture stenosis. Three of these five also had mid-nasal stenosis. One neonate had nasal synechiae. All patients failed conservative treatment prior to HFNC and two also failed surgical treatment. Improvement in oxygen saturations, heart and respiratory rates, meal volumes and weight were observed 48 hours after HFNC and without any further surgical intervention or complications. The limitation of this case series is the small cohort size, and short duration of follow-up. Future prospective studies in a larger cohort may establish the benefits of HFNC.
Neonatal nasal stenosis - conservative approach
Reviewed by Gauri Mankekar
Heated humidified high-flow nasal cannula: a new conservative approach for neonatal nasal stenosis.
CONTRIBUTOR
Gauri Mankekar
Department of Otolaryngology-Head Neck Surgery, Louisiana State University Shreveport, Louisiana, USA.
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