LXXIII Nasal Atresias: A Surgical Critique

Etiology: Various theories are advanced to explain its congenital origin. Schaeffer states that in many instances the anterior nares become secondarily obstructed by marked proliferation of the epithelium. Plugging of the nares is a common condition from the fortieth to the sixtieth day of embryonic life. In the majority of cases there is a solution of the atretic plug, the result of central degeneration and actual shedding of the epithelium. One often finds shreds of epithelial masses protruding from the nares of fetuses. Thomson merely asserts that this condition is caused by a "web of skin" at the junction of the vestibule with the nasal chamber proper. Cheatle suggests that the closure may be due to an inflammatory process during intra-uterine life. Williams mentions syphilis and trauma as causes, and Kelemen reports a case of anterior occlusion of both fossae due to developmental anomaly (pouch of Jacobson's organ).

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