|LETTERS TO EDITOR
|Year : 2016 | Volume
| Issue : 3 | Page : 431-432
Severe iatrogenic nostril stenosis
Leonidas Pavlidis1, Georgia Alexandra Spyropoulou1, Fotios Chatzinikolaou2, Efterpi Demiri1
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 Publication||30-Dec-2016|
Mikroulea 25, 55132, Thessaloniki
Source of Support: None, Conflict of Interest: None
|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 Mar 1];49:431-2. Available from: http://www.ijps.org/text.asp?2016/49/3/431/197248
We have read with great interest, the article  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 ,, 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]. 
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Conflicts of interest
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| » References|| |
Ebrahimi A, Shams A. Severe iatrogenic nostril stenosis. Indian J Plast Surg 2015;48:305-8.
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.
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.
Egan KK, Kim DW. A novel intranasal stent for functional rhinoplasty and nostril stenosis. Laryngoscope 2005;115:903-9.
[Figure 1], [Figure 2]