Nostril Stenosis Repair Using the Indwelling Flap

Summary: Nasal vestibule stenosis is a rare deformity that can be either congenital or acquired. Various surgical techniques for reconstruction have been described, including the use of skin grafts, composite grafts, and local tissue rearrangement. We present a novel approach using 2 V-Y indwelling advancement flaps. The flaps are raised from the columella and the nostril sill, using local nasal tissue adjacent to the stenotic area. This technique provides sufficient elongation of the nostril diameter on the stenotic site, ensures well-vascularized tissue (flap-only reconstruction) that prevents restenosis, and achieves aesthetically pleasing results. Follow-up at 12 and 24 months postoperatively showed no restenosis with a satisfactory aesthetic result and patient satisfaction.