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Current treatment of nasal vestibular stenosis with CO2-laser surgery; prolonged vestibular stenting versus intraoperative mitomycin application. A case series of 3 patients |
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| Affiliation: | 1. Department of Surgery, Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, USA;2. Drexel University College of Medicine, Philadelphia, PA, USA;1. Genetics Unit, Child''s Institute, University of São Paulo, São Paulo, Brazil;2. St John''s Institute of Dermatology, King''s College London, Guy''s Campus, London, UK;1. Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital, Seoul, Korea;2. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea;3. Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea;4. Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea;5. Department of Neurosurgery, Hana General Hospital, Cheongju, Korea;1. Department of Otolaryngology, Faculty of Medicine, University Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia;2. Department of Paediatrics, Faculty of Medicine, University Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia |
| Abstract: | These case studies describe three cases of unilateral nasal vestibular stenoses caused by chemical cauterization. Each case was treated with CO2-laser surgery together with intraoperative topic application of mitomycin or prolonged vestibular stenting for prevention of restenosis. Two patients received intraoperative mitomycin application and one patient received prolonged vestibular stenting. Results were documented using high-resolution photographs. The follow up period ranged from 1 year and 3 months to 4 years and 9 months. All patients improved after CO2-laser surgery. No complications were reported. We consider CO2-laser surgery for relief of nasal vestibular stenosis as a feasible surgical technique for relieve of nasal vestibular stenosis. Prolonged vestibular stenting seems to be an important factor for the prevention of restenosis in which the value of intraoperative mitomycin application without prolonged vestibular stenting remains uncertain. |
| Keywords: | Nasal vestibular stenosis Vestibulum nasi stenosis Mitomycin MMC Carbon dioxide laser surgery |
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