Surgical Repair of Nasal Vestibular Stenosis A Case Report

Beenish Nisar Ahmed, Muhammad Yasir Khan
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Abstract

Vestibular stenosis is an uncommon but debilitating cause of nasal obstruction leading to serious impairment of airway. It is caused by granulation and fibrosis of vestibular lining and there is circumferential scar retraction in the inlet of nasal cavities. Stenosis may be congenital or acquired. Causes of acquired stenosis include burns, trauma, infections, and iatrogenic insult to the lining of vestibule. Surgical correction is usually done by excision of fibrous tissue. A number of studies have been reported on surgical correction but not a single technique is widely accepted due to different diseases and different levels of deformities. Here we are suggesting a technique in which flaps have been raised and scar fibrous tissue is removed. This technique gives a good outcome and satisfactory result in a patient with post traumatic unilateral stenosis.
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鼻前庭狭窄的外科修复1例
前庭狭窄是一种罕见但使人衰弱的鼻塞原因,导致气道严重受损。它是由前庭内膜肉芽和纤维化引起的,在鼻腔入口有环形瘢痕缩回。狭窄可能是先天性的或后天的。获得性狭窄的原因包括烧伤、外伤、感染和医源性前庭内层损伤。手术矫正通常通过切除纤维组织来完成。许多关于手术矫正的研究已被报道,但由于不同的疾病和不同程度的畸形,没有一种技术被广泛接受。在这里,我们建议一种将皮瓣抬起并去除疤痕纤维组织的技术。该技术对创伤后单侧狭窄患者有良好的疗效和满意的结果。
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