ABSTRACT
Neonates with nasal obstruction may also present with stertor and feeding problems. Bilateral choanal atresia in neonates presents as acute respiratory distress as neonates are obligate nasal breathers. Neonates will present in a similar fashion to those with piriform aperture stenosis, cyanosis and failure to thrive. As with dermoid cysts, masses in the lower part of the nose can be removed via the external rhinoplasty approach. Treatment for haemangiomas has been transformed with the use of oral propranolol and involvement of the appropriate paediatric medical team familiar with its use is recommended. A teratoma is a true neoplasm consisting of all three germ cell layers with cells varying in maturity. Closed reduction of the septal deformity with topical anaesthetic in each nostril in the first few days of life has been described and is thought to be successful if the deviation is severe. Nasal gliomas are benign midline masses containing glial cells and fibrous and vascular tissue.
