title: Nasal deformities resulting from flow driver continuous positive airway pressure.
abstract: Over a period of six months, seven cases were documented of trauma to the nose as a result of flow driver continuous positive airway pressure in babies of very low birthweight (VLBW). There was a complication rate of 20% in the babies who required it. Deformities consisted of columella nasi necrosis which can occur within three days, flaring of nostrils which worsens with duration of continuous positive airway pressure, and snubbing of the nose which persists after prolonged continuous positive airway pressure. These complications should be preventable by modifications to the mechanism and method of use.
authors.affiliation: Neonatal Unit, St George's Hospital, London.
authors.forename: N J
authors.initials: NJ
authors.lastname: Robertson
authors.forename: L S
authors.initials: LS
authors.lastname: McCarthy
authors.forename: P A
authors.initials: PA
authors.lastname: Hamilton
authors.forename: A L
authors.initials: AL
authors.lastname: Moss
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D009300:Nasal Septum / Q000293:injuries* / Q000473:pathology; D009336:Necrosis; D009667:Nose Deformities, Acquired / Q000209:etiology* / Q000473:pathology; D011175:Positive-Pressure Respiration / Q000009:adverse effects* / Q000295:instrumentation; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy