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NeoQuest March 2023: Term Newborn with Stertor



A nondysmorphic term infant born via uncomplicated vaginal delivery develops respiratory distress with grunting, retractions, stertor, and cyanosis shortly after birth. When crying, the infant’s cyanosis resolves. A 5-French catheter is passed through both nares. A computed tomography scan is obtained (Figure 1).

Which of the following clinical features is most likely associated with this condition?

Figure 1: An axial maxillofacial computed tomography image of a neonate with respiratory distress and stertor notes a narrow pyriform aperture measuring 4mm (green measurement) in the anterior nasopharynx. Image from: Burch JL, Whitesel E, Manzi B, Adil E. A neonate with obstructed nasal breathing. Neoreviews. 2023;24(3)e195.10.1542/neo.24-3-e195

To learn more, read the article in the March issue of NeoReviews.
 
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