title: Current treatment of nasal vestibular stenosis with CO2-laser surgery: prolonged vestibular stenting versus intraoperative mitomycin application. A case series of 3 patients.
abstract: These case studies describe three cases of unilateral nasal vestibular stenoses caused by chemical cauterization. Each case was treated with CO2-laser surgery together with intraoperative topic application of mitomycin or prolonged vestibular stenting for prevention of restenosis. Two patients received intraoperative mitomycin application and one patient received prolonged vestibular stenting. Results were documented using high-resolution photographs. The follow up period ranged from 1 year and 3 months to 4 years and 9 months. All patients improved after CO2-laser surgery. No complications were reported. We consider CO2-laser surgery for relief of nasal vestibular stenosis as a feasible surgical technique for relieve of nasal vestibular stenosis. Prolonged vestibular stenting seems to be an important factor for the prevention of restenosis in which the value of intraoperative mitomycin application without prolonged vestibular stenting remains uncertain.
authors.affiliation: Department of Otorhinolaryngology, Radboud University Medical Centre, Nijmegen, The Netherlands. Electronic address: olaf.vanschijndel@radboudumc.nl.
authors.forename: Olaf
authors.initials: O
authors.lastname: van Schijndel
authors.affiliation: Department of Otorhinolaryngology, Radboud University Medical Centre, Nijmegen, The Netherlands.
authors.forename: Niels
authors.initials: N
authors.lastname: van Heerbeek
authors.affiliation: Department of Otorhinolaryngology, Radboud University Medical Centre, Nijmegen, The Netherlands.
authors.forename: Koen J A O
authors.initials: KJ
authors.lastname: Ingels
mesh_terms: D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use*; D002648:Child; D003251:Constriction, Pathologic / Q000628:therapy; D006801:Humans; D007430:Intraoperative Care; D053685:Laser Therapy; D054020:Lasers, Gas; D016685:Mitomycin / Q000627:therapeutic use*; D015508:Nasal Obstruction / Q000209:etiology / Q000628:therapy; D009668:Nose Diseases / Q000628:therapy*; D015607:Stents
chemical_list: D000903:Antibiotics, Antineoplastic; D016685:Mitomycin
keywords: CO(2)-laser; Carbon dioxide laser surgery; MMC; Mitomycin; Nasal vestibular stenosis; Vestibulum nasi stenosis