RESUMEN
El vestíbulo nasal corresponde a la primera porción de la fosa nasal, éste se encuentra delimitado lateralmente por los cartílagos alares y medialmente por el borde caudal del septum nasal y la columela. Las enfermedades infecciosas del vestíbulo nasal son patologías frecuentes en la práctica clínica; su diagnóstico se realiza en base a sospecha clínica y examen físico, requiriendo habitualmente solo manejo médico ambulatorio. Desde el punto de vista etiológico pueden ser virales, bacterianas y fúngicas. Las principales especies bacterianas involucradas corresponden a Staphylococcus coagulasa negativa, S. epidermidis, S. hominis y S. haemolyticus, difteroides spp y S. aureus. Su manejo es esencialmente médico con casos excepcionales requiriendo manejo quirúrgico. En la actualidad existe escasa información epidemiológica al respecto, lo que dificultad la clasificación de los dichos cuadros clínicos. Se realizó una revisión de la literatura sobre cuadros infecciosos que afectan el vestíbulo nasal para lograr sistematizar y clarificar las distintas patologías y sus tratamientos.
The nasal vestibule corresponds to the first portion of the nasal passage, limited laterally by the lateral crus and medially by the caudal edge of the nasal septum and columella. Infectious diseases of the nasal vestibule are frequent in clinical practice, diagnosis is made based on clinical suspicion and physical examination, usually requiring only ambulatory medical management. In terms of etiology, they can be viral, bacterial and fungal. The main bacterial species involved correspond: Coagulase-negative Staphylococcus, S. epidermidis, S. hominis and S. haemolyticus, difteroides spp and S. aureus. Management is essentially medical and only exceptionally requires surgery. Currently, there is a lack of epidemiological information in this regard, which makes it difficult to classify these clinical conditions. A review of the literature on infectious conditions that affect the nasal vestibule was performed, to systematize and clarify the different pathologies and their management.
Asunto(s)
Humanos , Infecciones Bacterianas/complicaciones , Enfermedades Nasales/etiología , Cavidad Nasal/microbiología , Papiloma/complicaciones , Staphylococcus aureus , Staphylococcus epidermidis , Rinoscleroma/complicaciones , Enfermedades Nasales/microbiología , Factores de Riesgo , Staphylococcus haemolyticus , Staphylococcus hominis , Foliculitis/complicaciones , Cavidad Nasal/patologíaRESUMEN
Objective To evaluate the clinical efficacy of triangle flap from the nasal vestibule on correcting the minor form unilateral incomplete cleft lip.Methods 72 patients with the minor-form unilateral incomplete cleft lip were invloved in this study.Based on different surgical procedures,all the patients were divided into two groups:36 patients were treated with harvesting a triangle flap from the nasal vestibule,rotating,increasing lip height;other 36 patients were treated with Millard method as control group.The positive photographs of two groups of patients were taken one year after surgery.Lip height,lip width,nostril width,nostril circumference and visible scar area were measured and compared statistically.Results Good rate of the group of the triangle flap from nasal vestibule was 91.6％ (33/36),but that of the group of Millard method was 72.2％ (29/36) (P＜0.05).The ratios of unaffected to affected sides of lip height,nostril circumference and nasal width in the triangle flap from nasal vestibule were 1.077±0.015,1.083±0.005,and 1.083±0.005;those of other group of Millard method were 1.078±0.013,1.095±0.005 and 1.096±0.015,respectively,with no significant difference (P＞0.05).But there was significant difference in laberal scar between the group of the triangle flap from nasal vestibule (0.510±0.004) mm2 and the control group of Millard method (0.830±0.009) mm2 (P＜0.05).Conclusions The nasal vestibule triangle flap method can significantly decrease the visible scar on lip and achieve the same good result compared to traditional Millard method.
RESUMEN
Hairy polyps are rare congenital benign masses of the head and neck. They mainly occur in the nasopharynx and oropharynx. This paper reports a 12-month-old female patient who had a 0.5-cm sausage-shaped mass in the left nasal vestibule with nasal obstruction and habitual nose-picking. This lesion was surgically removed with no complications under monitored anesthesia. There was no evidence of recurrence through 24 months. To the best our knowledge, this is the first English literature report of a patient with a hairy polyp arising from a nasal vestibule.
Asunto(s)
Femenino , Humanos , Lactante , Anestesia , Cabeza , Obstrucción Nasal , Nasofaringe , Cuello , Orofaringe , Pólipos , RecurrenciaRESUMEN
We present a case of accessory tragus (AT) which developed at an unusual site, the nasal vestibule, of a 1-day-old girl. To our knowledge, this is the first report of an accessory tragus that appears on the nasal vestibule.
RESUMEN
Sebaceous hyperplasia is a cutaneous lesion consisting of soft, yellow, papular lesions usually occurring on the face of elderly patients. The occurrence of the lesion on the nasal vestibule is exceptionally rare. Except for cosmesis, the condition has no clinical significance. However, the lesion is sometimes confused with early basal cell carcinomas. It should be considered as a differential diagnosis in the neoplasm of the nasal vestibule. Biopsy may be necessary if there is any concern about a malignancy. Treatment options include electrodesiccation, laser therapy, and topical bichloracetic acid. In this study, we report a case of sebaceous hyperplasia of the nasal vestibule with an unusual presentation.
Asunto(s)
Anciano , Humanos , Biopsia , Carcinoma Basocelular , Diagnóstico Diferencial , Hiperplasia , Terapia por LáserRESUMEN
A neurilemmoma is a rare nerve sheath tumor in dermatology. The tumors are usually solitary and affect woman more frequently than men, but with no particular affinity for any age group. It occurs commonly along the main nerve trunks of the extremities, especially the flexor surface of the arms, wrists, and knees. We report a case of neurilemmoma on the left nasal vestibule of 47-years old woman. The tumor was a solitary, pinkish, polypoidal papule which gradually increased in size. A review of the literature revealed extremely rare documented cases of neurilemmoma occurring in the nasal vestibule.