Accessory columellas: A case series on surgical method and short-term postoperative course

Oshima, Junya; Sasaki, Kaoru; Aihara, Yukiko; Myojo, Risa; Sasaki, Masahiro; Shibuya, Yoichiro; Sekido, Mitsuru

doi:10.1016/j.bjps.2022.08.051

Cited by 1 publication

(3 citation statements)

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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%

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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%