Iatrogenic nasal vestibular stenosis after maxillofacial reconstructive surgery Estenose iatrogênica de vestíbulo nasal após cirurgia reconstrutiva maxilofacial

Nasal vestibular stenosis is not only an esthetic, but also a functional problem for the patient. It is caused by disruption of the nasal vestibular lining with secondary proliferation of granulation and fibrous tissue. Various causes account for the development of nasal vestibular stenosis, including trauma, infection, and iatrogenic injury to the vestibular skin. Although a number of techniques have been described for repairing vestibular stenosis, correction may be difficult because of the tendency to wound contracture and recurrence. Herein, we describe a rare clinical presentation of nasal vestibular stenosis after maxillofacial surgery, which was successfully treated with endoscopic lysis of synechiae, release of vestibular scarring, and nasal stenting. This study was approved by the institutional review board of Pusan National University Hospital.