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J Cosmet Med 2023; 7(2): 94-97

Published online December 31, 2023

https://doi.org/10.25056/JCM.2023.7.2.94

How to release shallow nostril stenosis after pediatric trauma?

Gab-Kyun Lee, MD1 , Seok Hyun Kim, MD2 , Hyo Beom Jang, MD2 , Da-Hee Park, MD2 , Sue Jean Mun, MD, PhD2

1Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Rep. of Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of Korea

Correspondence to :
Sue Jean Mun
E-mail: baskie23@naver.com

Received: September 1, 2023; Revised: November 6, 2023; Accepted: November 7, 2023

© Korean Society of Korean Cosmetic Surgery & Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Nostril or vestibular stenosis is a rare disease that usually occurs after trauma, infection, or burns in acquired cases. Nostril stenosis in pediatric cases is even rarer; however, it must be considered after trauma. Nostril stenosis involves the proliferation of secondary fibrous tissue in damaged subcutaneous tissues, resulting in a circumferential scar that leads to nasal obstruction on the involved side. Because each case of vestibular stenosis is diverse, no standard treatment has been established. Here, we present cases of successfully treated posttraumatic shallow nostril stenosis in pediatric patients and highlight the importance of early surgery.

Keywords: child, nasal vestibule, nostril stenosis, trauma

Fig. 1.Endoscopic findings of case 1. (A) The preoperative assessment of the left nasal cavity reveals nostril stenosis with an internal diameter measuring 3 mm. (B) Postoperative right nasal cavity shows widened nasal orifice.
  1. Yoon BW, Kim DW, Choi SJ, Cho KS. Iatrogenic nasal vestibular stenosis after maxillofacial reconstructive surgery. Braz J Otorhinolaryngol 2016;84:126-30.
    Pubmed KoreaMed CrossRef
  2. Salvado AR, Wang MB. Treatment of complete nasal vestibule stenosis with vestibular stents and mitomycin C. Otolaryngol Head Neck Surg 2008;138:795-6.
    Pubmed CrossRef
  3. Cagici CA, Karabay G, Yilmazer C, Gencay S, Cakmak O. Electron microscopy findings in the nasal mucosa of a patient with stenosis of the nasal vestibule. Int J Pediatr Otorhinolaryngol 2005;69:399-405.
    Pubmed CrossRef
  4. Smith LP, Roy S. Treatment strategy for iatrogenic nasal vestibular stenosis in young children. Int J Pediatr Otorhinolaryngol 2006;70:1369-73.
    Pubmed CrossRef
  5. Jablon JH, Hoffman JF. Birth trauma causing nasal vestibular stenosis. Arch Otolaryngol Head Neck Surg 1997;123:1004-6.
    Pubmed CrossRef
  6. Park SW, Jeon YJ, Kim SW, Cho HJ. A case of surgical correction of nasal vestibular stenosis. Korean J Otorhinolaryngol Head Neck Surg 2021;64:825-8.
    CrossRef
  7. Ebrahimi A, Shams A. Severe iatrogenic nostril stenosis. Indian J Plast Surg 2015;48:305-8.
    Pubmed KoreaMed CrossRef
  8. Choudhury N, Hariri A, Saleh H. Z-plasty of the alar subunit to correct nasal vestibular stenosis. Otolaryngol Head Neck Surg 2014;150:703-6.
    Pubmed CrossRef
  9. Bozkurt M, Kapi E, Kuvat SV, Selçuk CT. Repair of nostril stenosis using a triple flap combination: boomerang, nasolabial, and vestibular rotation flaps. Cleft Palate Craniofac J 2012;49:753-8.
    Pubmed CrossRef
  10. van Schijndel O, van Heerbeek N, Ingels KJ. Current treatment of nasal vestibular stenosis with CO2-laser surgery: prolonged vestibular stenting versus intraoperative mitomycin application. A case series of 3 patients. Int J Pediatr Otorhinolaryngol 2014;78:2308-11.
    Pubmed CrossRef

Article

How We Do It

J Cosmet Med 2023; 7(2): 94-97

Published online December 31, 2023 https://doi.org/10.25056/JCM.2023.7.2.94

Copyright © Korean Society of Korean Cosmetic Surgery & Medicine.

How to release shallow nostril stenosis after pediatric trauma?

Gab-Kyun Lee, MD1 , Seok Hyun Kim, MD2 , Hyo Beom Jang, MD2 , Da-Hee Park, MD2 , Sue Jean Mun, MD, PhD2

1Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Rep. of Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Rep. of Korea

Correspondence to:Sue Jean Mun
E-mail: baskie23@naver.com

Received: September 1, 2023; Revised: November 6, 2023; Accepted: November 7, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nostril or vestibular stenosis is a rare disease that usually occurs after trauma, infection, or burns in acquired cases. Nostril stenosis in pediatric cases is even rarer; however, it must be considered after trauma. Nostril stenosis involves the proliferation of secondary fibrous tissue in damaged subcutaneous tissues, resulting in a circumferential scar that leads to nasal obstruction on the involved side. Because each case of vestibular stenosis is diverse, no standard treatment has been established. Here, we present cases of successfully treated posttraumatic shallow nostril stenosis in pediatric patients and highlight the importance of early surgery.

Keywords: child, nasal vestibule, nostril stenosis, trauma

Fig 1.

Figure 1.Endoscopic findings of case 1. (A) The preoperative assessment of the left nasal cavity reveals nostril stenosis with an internal diameter measuring 3 mm. (B) Postoperative right nasal cavity shows widened nasal orifice.
Journal of Cosmetic Medicine 2023; 7: 94-97https://doi.org/10.25056/JCM.2023.7.2.94

References

  1. Yoon BW, Kim DW, Choi SJ, Cho KS. Iatrogenic nasal vestibular stenosis after maxillofacial reconstructive surgery. Braz J Otorhinolaryngol 2016;84:126-30.
    Pubmed KoreaMed CrossRef
  2. Salvado AR, Wang MB. Treatment of complete nasal vestibule stenosis with vestibular stents and mitomycin C. Otolaryngol Head Neck Surg 2008;138:795-6.
    Pubmed CrossRef
  3. Cagici CA, Karabay G, Yilmazer C, Gencay S, Cakmak O. Electron microscopy findings in the nasal mucosa of a patient with stenosis of the nasal vestibule. Int J Pediatr Otorhinolaryngol 2005;69:399-405.
    Pubmed CrossRef
  4. Smith LP, Roy S. Treatment strategy for iatrogenic nasal vestibular stenosis in young children. Int J Pediatr Otorhinolaryngol 2006;70:1369-73.
    Pubmed CrossRef
  5. Jablon JH, Hoffman JF. Birth trauma causing nasal vestibular stenosis. Arch Otolaryngol Head Neck Surg 1997;123:1004-6.
    Pubmed CrossRef
  6. Park SW, Jeon YJ, Kim SW, Cho HJ. A case of surgical correction of nasal vestibular stenosis. Korean J Otorhinolaryngol Head Neck Surg 2021;64:825-8.
    CrossRef
  7. Ebrahimi A, Shams A. Severe iatrogenic nostril stenosis. Indian J Plast Surg 2015;48:305-8.
    Pubmed KoreaMed CrossRef
  8. Choudhury N, Hariri A, Saleh H. Z-plasty of the alar subunit to correct nasal vestibular stenosis. Otolaryngol Head Neck Surg 2014;150:703-6.
    Pubmed CrossRef
  9. Bozkurt M, Kapi E, Kuvat SV, Selçuk CT. Repair of nostril stenosis using a triple flap combination: boomerang, nasolabial, and vestibular rotation flaps. Cleft Palate Craniofac J 2012;49:753-8.
    Pubmed CrossRef
  10. van Schijndel O, van Heerbeek N, Ingels KJ. Current treatment of nasal vestibular stenosis with CO2-laser surgery: prolonged vestibular stenting versus intraoperative mitomycin application. A case series of 3 patients. Int J Pediatr Otorhinolaryngol 2014;78:2308-11.
    Pubmed CrossRef

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Journal of Cosmetic Medicine

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