Z-Plasty Correction of Congenital Nasal Vestibular Stenosis

Abstract

Stenosis of the nasal vestibule is a difficult problem to alleviate because surgical treatment of this area often results in cicatrix formation and restenosis. Surgery and other forms of trauma are the most common cause of nasal vestibular stenosis. Posttraumatic vestibular stenosis involves primarily the floor of the vestibule. An usual case of bilateral congenital vestibular stenosis involving primarily the soft tissues of the lateral aspects of the nasal vestibules is reported. The Z-plasty correction of this stenosis is outlined with pertinent photographs and schematic drawings.