A congenital accessory skin appendage of the nasal columella and nostril sill: a rare anatomical variation

Lee, Yung Ki; Chung, Young Hun; Burm, Jin Sik

doi:10.1007/s00276-018-1992-6

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…The footplates should be situated at right angles to the web. 8 A congenital accessory skin appendage of the columella and nostril sill 4,5 and accessory nostril, 6,7 a rare…”

Section: Discussionmentioning

confidence: 99%

“…A congenital accessory skin appendage of the columella and nostril sill 4,5 and accessory nostril, 6,7 a rare congenital nasal anomaly, were also reported to cause nostril stenosis. It is hypothesized that an obstacle or injury during medial migration of the medial nasal process results in an accessory skin appendage of the collumella.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Such a case requires surgical repair for the stenotic site because nasal airway narrowing induces various degrees of respiratory distress. A congenital accessory skin appendage of the columella and nostril sill 4,5 and accessory nostril, 6,7 a rare congenital nasal anomaly, have also been reported to cause nostril stenosis.…”

mentioning

confidence: 99%

“…It is hypothesized that an obstacle or injury during medial migration of the medial nasal process results in an accessory skin appendage of the collumella. 4 Accessory nostril is a very rare congenital anomaly, which is still unclear in etiology. 6 However, our case differs from those.…”

mentioning

confidence: 99%

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Congenital Nostril Stenosis with a Horseshoe-like Shape

Ueda,

Sugita,

Akamatsu

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: We report a rare case of congenital nostril stenosis because it is very interesting from the perspective of human embryo development. As we were not able to find a similar congenital case in the literature, we would like to describe it here. The patient is a 36-year-old woman who had bilateral congenital stenotic nostrils with horseshoe-like shape. Particularly, the bilateral medial crura protruded prominently. When she inhaled strongly, she could not breathe further because the action was analogous to the closure of a valve. Her elder sister had similar stenosis in the right nostril only, and parents did not have any stenotic nostrils. During the surgery, the prominent webs of the bilateral medial crura were resected, and Y-V advancement flap was inserted bilaterally to avoid restenosis. Histopathological examination revealed that the resected tissue contained cartilaginous and muscular tissue. A Koken retainer was worn throughout each entire day without washing the face or taking a bath for 3 months after surgery and was washed for keeping hygiene many times every day. After surgery, the patient can breathe well when she inhales strongly and is very satisfied with the operative results. Stenosis has not recurred 6 months after operation. Pathogenesis of this case is thought to occur at the early phase of embryo development when the medial and lateral nasal placodes form a downward-facing “horseshoe.”

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“…The footplates should be situated at right angles to the web. 8 A congenital accessory skin appendage of the columella and nostril sill 4,5 and accessory nostril, 6,7 a rare…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Congenital Nostril Stenosis with a Horseshoe-like Shape

Ueda,

Sugita,

Akamatsu

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…3 In this regard, several reconstructive methods for removing the scars have been studied. 4 If the scar is large, the initial removal and repair may lead to a wide scar deformity on the nostrils, columella, or ala, and result in hypo-or hyperpigmentation. Applying grafts, in addition to deformity and morbidity, may cause asymmetry and disfigurement.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Excision of Dorsal Nasal Scars and Reduction Rhinoplasty: A Retrospective Cross-sectional Study

Omranifard

Zare

Ameri

2021

Plastic and Reconstructive Surgery - Global Open

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Background: Skin lesions and traumas can affect the skin by leaving scars. The purpose of this study was evaluating the results of a new technique in reconstructive surgery of scars on the nose. In this technique, extra skin remaining from reduction rhinoplasty is applied to the defect remained from removing the scar. Methods: This is a retrospective cross-sectional study performed on 33 patients who underwent reduction rhinoplasty from 2013 to 2018 due to scars on the dorsal nasal skin. Five sets of standards, criteria, and questionnaires were used to evaluate the cosmetic outcomes, scars, and nasal function. These included the Cakir concept, visual analogue scale, patient reported outcome measurement, Stony Brook scar evaluation scale, and sino-nasal outcome test-22. Results: According to the surface polygon concept, or Cakir concept, the number of affected polygons due to scars decreased in all included patients (P < 0.05). In addition, constant improvement in patients' satisfaction, based on patient reported outcome measurement (P < 0.001) and visual analogue scale (P ≤ 0.05), as well as physicians' satisfaction, based on Stony Brook scar evaluation scale, were determined. Furthermore, evaluating the patients' breathing, based on sino-nasal outcome test-22 criteria (P < 0.09), indicated no adverse effects. Conclusion: Excision of scars from dorsal nasal skin and conducting rhinoplasty surgery from the same access can be considered an option for reconstructing nasal scars.

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