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Case report
Congenital absence of the nasal septum in a Nigerian newborn with multiple congenital anomalies
  1. Isa Abdulkadir,
  2. Sani Musa,
  3. Fatima Lami Abdullahi and
  4. Laila Hassan
  1. Paediatrics, Ahmadu Bello University /Teaching Hospital, Zaria, Kaduna, Nigeria
  1. Correspondence to Dr Sani Musa; asmaummama{at}


Congenital absence of the nasal septum (hyporhynia) is infrequently reported in the literature. We report a rare case in a newborn with multiple congenital anomalies with the aim to highlight its rarity and compatibility with life in a resource-limited setting. The case notes of the child were summarised and the relevant literature reviewed to give the report a context. A 2-hour-old term baby boy presented with a history of abnormal facie characterised by a single nostril and noisy breathing. On examination, he had stridulous breathing, bilateral proptosis, sloping of the forehead, depressed nasal bridge absent nasal septum, absence of columella and hypoplastic mid-face, among other dysmorphic features. A diagnosis of hyporhynia in a baby with multiple congenital anomalies was made and managed accordingly. The baby was discharged to continue follow-up. Congenital absence of the nasal septum is rare and could present without respiratory distress and may be compatible with life.

  • congenital disorders
  • neonatal health
  • otolaryngology / ENT

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  • Contributors SM, IA, FLA and LH involved in patient management, conception of the report, writing of the report and review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.