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Bilateral nasal vestibular stenosis: a case of rhinoscleroma and review of surgical techniques

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Vestibular stenosis is an uncommon but debilitating cause of nasal obstruction. It is caused by disruption of the nasal vestibular lining with secondary proliferation of granulation and fibrous tissue. A number of techniques have been described for repair of the stenotic segment. Correction can be difficult because of the tendency of wound contracture and recurrence. We present a surgical technique that employs the concept of excision of the stenotic segment, enlargement of the vestibule and placement of a full thickness skin flap. Its ability to resist contracture obviates the need for post-operative stenting and gives good result.

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References

  1. Adamson PA, McGraw-Wall BL, Strecker HD and Gillman GS (1998) Analysis of nasal airflow following repair of vestibular stenosis. J Otolarngol 27(4):200–205

    CAS  Google Scholar 

  2. Khaw PT, Doyle JW, Sherwood MB, Greirson I, Schultz G, Mc Gorray S (1993) Prolonged localized tissue effects from 5-minute exposures to fluorouracil and Mitomycin C. Arch Ophthalmol 111:263–267

    PubMed  CAS  Google Scholar 

  3. Jablon JH, Hoffman JF (1997) Birth trauma causing nasal vestibular stenosis. Arch Otolaryngol Head Neck Surg 123(9): 1004–1006

    PubMed  CAS  Google Scholar 

  4. Al-Qattan MM and Robertson GA (1991) Acquired nostril stenosis. Ann Plast Surg 27:382–386

    Article  PubMed  CAS  Google Scholar 

  5. Karen M, Chang E and Keen MS (2000) Auricular composite grafting to repair nasal vestibular stenosis. Otolaryngol Head Neck Surg 122(4):529–532

    Article  PubMed  CAS  Google Scholar 

  6. Blandini D, Tremlada C, Beretta M and Mascetti M (1995) Iatrogenic nostril stenosis: Aesthetic correction using a vestibular labial mucosa flap. Plast Reconstr Surg 95(3): 560–571

    Article  Google Scholar 

  7. Constantian MB (1998) An alar base flap to correct nostril and vestibular stenosis and alar base malposition in rhinoplasty. Plast Reconstr Surg 101(6):1666–1674

    Article  PubMed  CAS  Google Scholar 

  8. Sood VP (2002) Surgery of the lower cartilaginous vault: Corrective Rhinoplasty (ed 2) pp 93, 98

  9. Gupta M, Motwani G. Role of Mitomycin C in reducing adhesion formation following endoscopic sinus surgery. J Laryngol Otol (in press)

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Correspondence to Manish Gupta.

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Gupta, M., Rai, A.K. Bilateral nasal vestibular stenosis: a case of rhinoscleroma and review of surgical techniques. Indian J Otolaryngol Head Neck S 60, 72–75 (2008). https://doi.org/10.1007/s12070-008-0023-z

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  • DOI: https://doi.org/10.1007/s12070-008-0023-z

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