Abstract
To the Editor — Nasal flaring is one of the manifestations of respiratory distress in neonates. 1 Nasal flaring reduces nasal and total airway resistance, improving ventilation in neonates with respiratory distress. 2,3 Bilateral choanal atresia/stenosis is a life-threatening cause of respiratory distress in neonates. The diagnosis is often delayed, resulting from lack of any specific clinical finding suggestive of the diagnosis. Significant respiratory distress characterized by intense subcostal, intercostal, and suprasternal retractions was noticed in a newborn soon after birth. However, clinically evident nasal flaring was conspicuously absent, leading …
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