Jablon J H, Hoffman J F
Department of Otolaryngology, Hill Air Force Base, Utah, USA.
Arch Otolaryngol Head Neck Surg. 1997 Sep;123(9):1004-6. 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 of 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.
鼻前庭狭窄是由鼻前庭黏膜破坏并继发肉芽组织和纤维组织增生引起的。它最常见于严重鼻外伤或异物反应。在儿科人群中极为罕见，文献中仅有少数病例报道。据我们所知，我们报告了首例因创伤性阴道分娩导致完全狭窄的病例。该病例表明鼻前庭狭窄可对发育中的鼻子产生深远影响。由于伤口挛缩和复发的倾向，矫正可能很困难。本文介绍了一种新方法，即使用硬腭黏膜移植。这种移植物坚韧、有弹性且易于获取。它抵抗挛缩的能力避免了术后支架置入的需要，这在儿科人群中尤其有用。
