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September 1997

Birth Trauma Causing Nasal Vestibular Stenosis

Author Affiliations

From the Department of Otolaryngology, Hill Air Force Base, Utah (Maj Jablon), and the Department of Otolaryngology—Head and Neck Surgery, University of Utah, Salt Lake City (Dr Hoffman).

Arch Otolaryngol Head Neck Surg. 1997;123(9):1004-1006. doi:10.1001/archotol.1997.01900090120019

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