Nasal vestibular stenosis is caused by a disruption of the nasal vestibular lining with secondary proliferation of granulation and fibrous tissue. It is most commonly the result of significant nasal trauma or foreign body reaction. In the pediatric population, it is exceedingly rare, with only a few cases reported in the literature. We report the first case, to our knowledge, of complete stenosis caused by traumatic vaginal delivery. This case demonstrates the profound effect nasal vestibular stenosis can have on the developing nose. Correction can be difficult because of the tendency of wound contracture and recurrence. A new approach is presented, using a hard palate mucosal graft. This graft is tough, resilient, and easily harvested. Its ability to resist contracture obviates the need for postoperative stenting, which is especially useful in the pediatric population.
Arch Otolaryngol Head Neck Surg. 1997;123:1004-1006
Jablon JH, Hoffman JF. Birth Trauma Causing Nasal Vestibular Stenosis. Arch Otolaryngol Head Neck Surg. 1997;123(9):1004-1006. doi:10.1001/archotol.1997.01900090120019