Newborns and infants are dependent on nasal respiration and therefore, nasalobstructions may lead to life-threatening outcomes in this age group. Althoughthe most common cause of nasal obstruction in newborns are choanal atresia,soft tissue edema, congenital nasal bone anomalies such as narrowness ofthe apertura piriformis and midnasal stenosis should be kept in mind.A 5-day-old infant was referred to our clinic with the complaints of respiratoryproblems. Physical examination revealed nasal bone hypoplasia and saddlenose deformity. In the endoscopic examination, the septum was seen to bedeviated in an ‘S’ shape and the nasal passages were almost completely closed.The paranasal CT examination reported significant narrowing of the airwayin the central part of the nasal cavity. After application of nasal trumpet toboth nasal passages, clinical recovery was determined in the patient and nopathology was determined during the follow-up period.