TREATMENT OF COMPLETE UNILATERAL BONY ATRESIA OF THE POSTERIOR NARES: A New Technique and a Brief Reference to Asphyxia Neonatorum

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  • HBHenry H. Beinfield
    Henry H. Beinfield
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Abstract
THE PURPOSE of this paper is to describe an approach, different from any thus far employed, in the treatment of a case of unilateral bony atresia of the posterior nares. This procedure is comparatively simple. It is not destructive to the extent that normal structures are sacrificed to attain a proper result and it enables covering the bare bony surface with mucous membrane to prevent the closure of the newly formed opening. The nasal and pharyngeal mucous membranes covering the bony atresia are utilized to cover the bare bony rim of the posterior nares after the bony atresia has been removed. The entire operative field can be clearly visualized because proper exposure is obtained. The same technique can also be applied in cases of bilateral atresia. In cases in which a deviated septum is obstructing, a submucus resection can be combined with this procedure. It is not recommended for choanal