Indian Journal of Plastic Surgery
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LETTERS TO EDITOR
Year : 2016  |  Volume : 49  |  Issue : 3  |  Page : 431-432
 

Severe iatrogenic nostril stenosis


1 Department of Plastic Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Forensic Medicine and Toxicology, Aristotle University of Thessaloniki, Thessaloniki, Greece

Date of Web Publication30-Dec-2016

Correspondence Address:
Leonidas Pavlidis
Mikroulea 25, 55132, Thessaloniki
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.197248

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How to cite this article:
Pavlidis L, Spyropoulou GA, Chatzinikolaou F, Demiri E. Severe iatrogenic nostril stenosis. Indian J Plast Surg 2016;49:431-2

How to cite this URL:
Pavlidis L, Spyropoulou GA, Chatzinikolaou F, Demiri E. Severe iatrogenic nostril stenosis. Indian J Plast Surg [serial online] 2016 [cited 2017 May 23];49:431-2. Available from: http://www.ijps.org/text.asp?2016/49/3/431/197248


Sir,

We have read with great interest, the article [1] of Ebrahimi and Shams concerning a case with severe post-operative nostril stenosis in a female patient who underwent multiple – primary and secondary – rhinoplasty operations.

The risk of nostril stenosis development after primary rhinoplasty is not high but the cost following it can be, especially important. The appearance of a severe complication following a purely aesthetic surgical intervention can turn a healthy person to a patient with unexpected consequences. We believe that, in such cases where nostril constriction is possible to happen due to nasal valve intra-operative injury, prevention might be the best solution following the basic “better safe than sorry” principle.

Many different internal nasal splints [2],[3],[4] have been proposed over time. In similar cases where the nasal valve was affected, we have used a simple, “handmade” internal nasal splint made of X-ray film pieces [Figure 1] and [Figure 2]. We have recently used them not only on post-nasal valve injury patients with high risk of nostril stenosis development but also as a standard post-rhinoplasty splint. Their use is based on the creation of a cylinder splint, taking advantage of elastic properties of an X-ray film. After forming the splint and placing into the nostrils, it tends to unfold maintaining intra-nasal space and keeping the airway open and easily accessible [Figure 2].
Figure 1: X-ray film piece formed as cylinder splint

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Figure 2: Splints placed into the nostrils post-operatively

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[4]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Ebrahimi A, Shams A. Severe iatrogenic nostril stenosis. Indian J Plast Surg 2015;48:305-8.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Wolfe SA, Podda S, Mejia M. Correction of nostril stenosis and alteration of nostril shape with an orthonostric device. Plast Reconstr Surg 2008;121:1974-7.  Back to cited text no. 2
    
3.
Sekine K, Matsune S, Shiiba K, Kimura M, Okubo K, Kaneshiro T, et al. Treatment of nostril and nasal stenosis due to facial burn using a self-expandable metallic esophageal stent. Auris Nasus Larynx 2015;42:348-52.  Back to cited text no. 3
    
4.
Egan KK, Kim DW. A novel intranasal stent for functional rhinoplasty and nostril stenosis. Laryngoscope 2005;115:903-9.  Back to cited text no. 4
    


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