Iynen Ismail, Kose Rustu
Department of Otolaryngology, Head and Neck Surgery, Harran University, Sanliurfa, Turkey.
J Pak Med Assoc. 2010 Oct;60(10):865-6.
Nostril stenosis is an uncommon deformity with a variable aetiology. It may be either congenital or acquired. The causes of the acquired form includes trauma, infection and iatrogenic injury to the vestibular skin. Previous surgery including septoplasty and rhinoplasty, overzealous use of chemicals, laser, electrocauterization and traumatic placement of nasal packing to control epistaxis contribute significantly to the development of vestibular stenosis. Electrocauterization for inferior concha hypertrophy is a simple procedure and is frequently used in otolaryngeology-head and neck surgery. If enough attention is not paid during the operation, it may cause severe nasal obstruction and an aesthetic deformity which cannot be repaired easily. Various techniques have been described for repair of this stenotic segment but correction is difficult due to tendency of wound-contracture and recurrence. We present a case of a 58-year-old male patient complaining of nasal obstruction and an aesthetic deformity who had sought treatment for stenosis of the left nostril of 6 months duration. Previously, the patient had undergone septoplasty and electrocauterization for inferior turbinate hypertrophy.
鼻孔狭窄是一种病因多样的罕见畸形。它可以是先天性的，也可以是后天获得性的。后天性鼻孔狭窄的病因包括创伤、感染以及对前庭皮肤的医源性损伤。既往手术，如鼻中隔成形术和鼻整形术、过度使用化学物质、激光、电灼以及为控制鼻出血而不当放置鼻腔填塞物，均是导致前庭狭窄的重要因素。下鼻甲肥大的电灼术是一种简单的手术，在耳鼻咽喉 - 头颈外科中经常使用。如果手术过程中未给予足够重视，可能会导致严重的鼻塞和难以修复的美观畸形。目前已经描述了多种修复该狭窄段的技术，但由于伤口挛缩和复发的倾向，矫正较为困难。我们报告一例58岁男性患者，因左侧鼻孔狭窄6个月，出现鼻塞和美观畸形前来就诊。该患者既往曾接受鼻中隔成形术以及下鼻甲肥大电灼术。
