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The surgery of the nasal vestibule has not received that serious and careful attention which its importance demands. Abnormalities in this region not only obstruct the gateway to physiologic respiration, but also disagreeably alter an otherwise pleasant facial expression. Frequently operative procedures achieve a cosmetic result which were intended only to relieve nasal stenosis. It would be well to define the nasal vestibule as being that part of the nasal fossa which extends inward from the margins of the anterior nares from one-half to seven-eighths of an inch. Nearly all of this part of the nasal fossa is lined with scaly or pavement epithelium, and the balance of the nasal membrane is covered with ciliated and non-ciliated columnar epithelium. Attempts to enlarge the lumen of the vestibule by excision of the surface tissue, excluding a part of the septum, almost invariably produces the opposite results, by narrowing it. The contraction
MYLES RC. SURGERY OF THE NASAL VESTIBULE WITH REFERENCE TO CERTAIN FORMS OF STENOSIS AND FACIAL DISFIGUREMENT.. JAMA. 1896;XXVII(13):695–697. doi:10.1001/jama.1896.02430910025001g