Stenosis of the nasal vestibule and its treatment

From our own experience and a review of the literature, we present a few te chniques which, in our eyes, give the surgeon the possibility to treat most encountered cases of stenosis of the nasal vestibule. During 1991 to 1998 the author in Stuttgart (W.G.) performed simple z-plasty combined with loca l flaps in 6 patients and composite grafts only in 12 cases, to correct nas al vestibule stenosis. The author in Lausanne (R.M.), who first described t he paranasal myocutaneous flap to correct not only nasal vestibule stenosis but also alar base malposition has treated over 50 patients with this tech nique and with composite grafts during the last 20 years.