Long-term results of neonates with nasal deviation: a prospective study over 12 years.

In the literature of the past 100 years only a few cases with documented long-term healing of intrauterinely acquired nasal deviation could be found. Therefore we prospectively investigated 3425 children who were born between 1980 and 1981 in the Obstetric Department of the University Hospital of Ulm. In this group 29 neonates (0.86%) showed a deviation of the bony and cartilaginous nose related to intrauterine injury. After a period of 11-12 years we could reexamine 14 children by otorhinolaryngological examination, photographic documentation of the face and acoustic rhinometry. After 11-12 years nine children presented a straight nose and five children (36%) showed a deviation of the nasal pyramid to the same side as found at birth--markedly in two girls and slightly in three girls. Unexpectedly high was the rate of malocclusions, namely in 13 out of 14 children.