Abstract
Purpose of Review
The nasal vestibular body (NVB) is a recently reported, dynamic swell body present in the anterior nasal airway that may contribute to symptomatic nasal airway obstruction. This review aims to summarize what is currently known regarding the diagnosis and management of this newly identified, and readily treated, structure.
Recent Findings
NVB can be a prominent finding in nasal airway pathway; its role as a component of nasal obstruction can be assessed by chemical decongestion of the NVB soft tissue alone. NVB soft tissue reduction can be surgically achieved using radiofrequency ablation. This modality is safe and effective without any evidence of long-term sequala, and moreover provides for significant improvement in nasal air passage following NVB soft tissue reduction.
Summary
The NVB is a newly identified nasal structure that can contribute to nasal obstruction. It site of tissue hypertrophy may have been overlooked until recently due to its location in the nasal cavity, or use of vasoconstricting agents prior to formal examination. Topical decongestion of the NVB soft tissue alone can assist in discriminating the role of the NVB in nasal obstruction in individual patients. Reports of surgical management using radiofrequency ablation have thus far been shown to be safe and highly effective.
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References
Esmaili A, Acharya A. Clinical assessment, diagnosis and management of nasal obstruction. Aust Fam Physician. 2017;46(7):499–503.
Clark DW, Del Signore AG, Raithatha R, Senior BA. Nasal airway obstruction: prevalence and anatomic contributors. Ear Nose Throat J. 2018;97(6):173–6. https://doi.org/10.1177/014556131809700615.
Schuman TA, Senior BA. Treatment paradigm for nasal airway obstruction. Otolaryngol Clin North Am. 2018;51(5):873–82. https://doi.org/10.1016/j.otc.2018.05.003.
Locketz GD, Teo NW, Walgama E, Humphreys IM, Nayak JV. The nasal vestibular body: anatomy, clinical features, and treatment considerations. Eur Arch oto-rhino-laryngology Off J Eur Fed Oto-Rhino-Laryngological Soc Affil with Ger Soc Oto-Rhino-Laryngology - Head Neck Surg. 2016;273(3):777–81. https://doi.org/10.1007/s00405-015-3868-2.
Ibrahim N, Tyler MA, Borchard NA, Rathor A, Nayak JV. Nasal vestibular body treatment for recalcitrant nasal obstruction. Int Forum Allergy Rhinol. 2020;10(3):388–94. https://doi.org/10.1002/alr.22463.
Bezerra TF, Padua FG, de M Pilan RR, Stewart MG, Voegels RL. Cross-cultural adaptation and validation of a quality of life questionnaire: the Nasal Obstruction Symptom Evaluation questionnaire. Rhinology. 2011;49(2):227–31. https://doi.org/10.4193/Rhino10.019
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This article is part of the Topical collection on RHINOLOGY: Nasal Obstruction
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Yang, A., Kim, D., Tsai, E. et al. The Nasal Vestibular Body and Its Role in Nasal Obstruction. Curr Otorhinolaryngol Rep 10, 121–125 (2022). https://doi.org/10.1007/s40136-021-00388-w
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DOI: https://doi.org/10.1007/s40136-021-00388-w