Newborn at Mouwasat Hospital in Al-Madinah Successfully Treated for Rare Congenital Nasal Airway Obstruction

Newborn at Mouwasat Hospital in Al-Madinah Successfully Treated for Rare Congenital Nasal Airway Obstruction

Immediately after birth, the neonatology consultant examined the infant to detect any congenital anomalies, promptly diagnosing the condition. A plastic oral airway was quickly inserted to facilitate breathing, and the newborn was transferred to the neonatal intensive care unit under the supervision of Dr. Khalil Al-Tawil, Consultant in Pediatrics and Neonatology, where advanced medical facilities ensured continuous and precise monitoring of the baby’s condition.

Dr. Mohamed Kotb, Consultant in Ear, Nose, and Throat (ENT) Surgery, was then called to conduct a specialized examination using advanced neonatal endoscopic equipment, confirming a severe congenital nasal blockage. To further assess the condition, a CT scan of the nasal cavity was requested to determine whether the obstruction was bony or membranous, and to exclude other associated anomalies. The scan was performed the same day, with high precision and protocols tailored to the infant’s age, made possible by the hospital’s state-of-the-art diagnostic radiology department.

After detailed discussions with the parents, an urgent surgery was scheduled for the following day. Under general anesthesia, the bilateral posterior choanal atresia was surgically corrected. The hospital’s anesthesia consultant prepared the baby for the procedure, ensuring appropriate techniques and dosages for such a delicate case. The surgery was performed by Professor and Consultant ENT Surgeon, Dr. Mohamed Mahmoud Kotb, using specialized neonatal nasal endoscopy and precision instruments capabilities that distinguish Mouwasat Hospital.

The operation was successfully completed, and the infant recovered without complications. He was then returned to the neonatal intensive care unit under Dr. Al-Tawil’s supervision for continued monitoring.

Following full stabilization, the baby began breathing naturally through the nose and was able to feed without difficulty. Upon complete recovery, he was discharged home in good health, with his family expressing deep gratitude to the medical team for their swift, expert, and comprehensive care.