Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-08T00:33:28.487Z Has data issue: false hasContentIssue false
  • English
  • Français

Congenital inferior turbinate hypertrophy: an overlooked entity in newborns and review of the literature

Published online by Cambridge University Press:  15 October 2021

N A C A Rahim ,
J Saniasiaya  and
J Kulasegarah
N A C A Rahim
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J Saniasiaya*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J Kulasegarah
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
*
Author for correspondence: Ms Jeyasakthy Saniasiaya, Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Jalan Universiti, 50603 Kuala Lumpur, WP Kuala Lumpur, Malaysia E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Neonatal nasal obstruction may result in respiratory distress, feeding difficulties, sleep apnoea and failure to thrive; hence, it requires thorough evaluation and prompt intervention. Congenital inferior turbinate hypertrophy is relatively uncommon, and its presentation can mimic other congenital nasal anomalies.

Relevance

This paper reports two cases of congenital inferior turbinate hypertrophy in neonates that resulted in significant respiratory distress, feeding difficulties and sleep disturbance. Both patients were successfully treated surgically by endoscopic nasal dilatation and stenting. A literature search was performed to identify articles on congenital inferior turbinate hypertrophy in neonates and its management.

Conclusion

Albeit rare, congenital inferior turbinate hypertrophy should be considered a differential diagnosis in newborns presenting with respiratory distress at birth.

Keywords

Inferior Turbinate HypertrophyInferior Turbinate SurgeryNasal ObstructionRespiratory DistressNewborn
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 2 , February 2022 , pp. 181 - 184
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Ms J Saniasiaya takes responsibility for the integrity of the content of the paper

References

Kwok, J, Leong, MK, Koltai, P. Congenital inferior turbinate hypertrophy: an unusual cause of neonatal nasal obstruction. Int Pediatr Otorhinolaryngol 2007;2:26–30CrossRefGoogle Scholar
Basal, Y, Akcan, AB, Polat, YD, Gunel, C, Eryilmaz, A, Basak, S et al. Rarely seen nasal congenital problems causing neonatal upper respiratory obstruction: a case series. Pediatr Rep 2016;8:6456CrossRefGoogle ScholarPubMed
Miller, MJ, Martin, RJ, Carlo, WA, Fouke, JM, Strohl, KP, Fanaroff, AA. Oral breathing in newborn infants. J Pediatr 1985;107:465–9CrossRefGoogle ScholarPubMed
Wan Mansor, WN, Ahmad, A, Kulasegarah, J. Bilateral inferior conchae and turbinate hypertrophy causing choanal pseudoatresia. J Health Sci 2019;9:50–2Google Scholar
Adil, E, Huntley, C, Choudhary, A, Carr, M. Congenital nasal obstruction: clinical and radiologic review. Eur J Pediatr 2012;171:641–50CrossRefGoogle ScholarPubMed
Patel, VA, Carr, MM. Congenital nasal obstruction in infants: a retrospective study and literature review. Int J Pediatr Otorhinolaryngol 2017;99:78–84CrossRefGoogle ScholarPubMed
Abdullah, B, Hassan, S, Salim, R. Transnasal endoscopic repair for bilateral choanal atresia. Malays J Med Sci 2006;13:61–3Google ScholarPubMed
Arganbright, JM, Jensen, EL, Mattingly, J, Gao, D, Chan, KH. Utility of inferior turbinoplasty for the treatment of nasal obstruction in children: a 10-year review. JAMA Otolaryngol Head Neck Surg 2015;141:901–4Google ScholarPubMed
Hol, MK, Huizing, EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology 2000;38:157–66Google ScholarPubMed
Chen, YL, Liu, CM, Huang, HM. Comparison of microdebrider-assisted inferior turbinoplasty and submucosal resection for children with hypertrophic inferior turbinates. Int J Pediatr Otorhinolaryngol 2007;71:921–7CrossRefGoogle ScholarPubMed