Iatrogenic nostril stenosis: aesthetic correction using a vestibular labial mucosa flap.
Nostril stenosis is an infrequent finding that often has an iatrogenic cause. It is a very difficult problem to resolve and usually requires several months of prosthetic support in order to counteract the recurrence of internal scarring and shrinking. We present a 4-year-old child with a monolateral iatrogenic nostril stenosis. A satisfactory and stable correction was obtained using a "piercing" flap taken from the labial vestibule. The use of a nasal stent (not placed immediately and worn only at night) was necessary for only 2 months. This technique has a number of advantages: the absence of external scars, little or no tendency to recurrence due to the absence of contraction provided by the well-vascularized flap tissue, and the ease and rapidity of the surgical procedure.
Blandini
D
D
Division of Plastic Surgery, Ospedale Maggiore di Lodi, Italy.
Tremolada
C
C
Beretta
M
M
Mascetti
M
M
D002675:Child, Preschool; D003251:Constriction, Pathologic; D004564:Electrocoagulation / Q000009:adverse effects; D004844:Epistaxis / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008046:Lip / Q000601:surgery*; D009092:Mucous Membrane / Q000637:transplantation; D009667:Nose Deformities, Acquired / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*