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

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 fi brous tissue. A number of techniques have been described for repair of the stenotic segment. Correction can be diffi cult 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 fl ap. Its ability to resist contracture obviates the need for post-operative stenting and gives good result.

Iatrogenic nasal vestibular stenosis after maxillofacial reconstructive surgery

“… 4 A CT may be helpful to assess the thickness of atretic segment and any other associated abnormality of nasal cavity and sinuses. 1 In our case, nasal septum deviation and additional synechia were identified between the anterior aspect of inferior turbinate and nasal septum on both sides.…”

“…Nasal vestibular stenosis is an uncommon but debilitating cause of nasal obstruction. 1 It may show all degrees of narrowing, from slight stenosis to complete atresia, and occur unilaterally or bilaterally. 5 Nasal vestibular stenosis usually begins in the upper and lateral aspects of the nasal vestibule because of the lack of support of the alae compared with the more rigid septal and lower lateral cartilages.…”

“…The diagnosis of vestibular stenosis is clinical. 1 Patients complain of constant unilateral or bilateral nasal obstruction. Physical examination confirms an area of stenosis in the vestibule.…”

“…Nasal vestibular stenosis is not only an esthetic, but also a functional problem for the patient. 1 It is caused by disruption of the nasal vestibular lining with secondary proliferation of granulation and fibrous tissue. 1 , 2 Various causes account for the development of nasal vestibular stenosis, including trauma, infection, and iatrogenic injury to the vestibular skin.…”

“… 1 It is caused by disruption of the nasal vestibular lining with secondary proliferation of granulation and fibrous tissue. 1 , 2 Various causes account for the development of nasal vestibular stenosis, including trauma, infection, and iatrogenic injury to the vestibular skin. Although a number of techniques have been described for repairing vestibular stenosis, 2 , 3 , 4 correction may be difficult because of the tendency to wound contracture and recurrence.…”