Case Report

Volume: 4 | Issue: 6 | Published: Jun 17, 2020 | Pages: 218 - 222 | DOI: 10.24911/ejmcr/173-1588580038

Post-corrective nasal stenosis patency rehabilitation using glue gun stick: a case report on the novel management strategy


Authors: Siti Nor Ashiah Johari , Norasnieda Md Shukri , Ramiza Ramza Ramli , Arman Zaharil Mat Saad


Article Info

Authors

Siti Nor Ashiah Johari

Department of Otorhinolaryngology, Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Malaysia

Norasnieda Md Shukri

Department of Otorhinolaryngology, Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Malaysia

Ramiza Ramza Ramli

Department of Otorhinolaryngology, Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Malaysia

Arman Zaharil Mat Saad

Department of Reconstructive Sciences, School of Medical Sciences, Universiti Sains Malaysia, Health Campus Kota Bharu, Malaysia

Publication History

Received: May 04, 2020

Accepted: May 18, 2020

Published: June 17, 2020


Abstract


Background: Care and rehabilitation following surgical repair of post-traumatic vestibular stenosis with scarring tissue should be intense and meticulous as treatment failure and risk of re-stenosis is high. Case presentation: We present a case of a 26-year-old male presented at 1 month post-motor vehicle accident which he sustained laceration injury to the left alar nasal sulcus. Upon examination, he had narrowed right vestibular opening and pin-point opening of the left nostril. He underwent a series of dilatation of the left nostril using Hegar dilators and resection of fibrous tissue. Postoperatively, he was advised to perform daily nasal dilatation using glue gun stick for three consecutive months. Lignocaine 2% gel was supplied as a lubricant for stick entry. Upon follow-up review, the patient exhibit excellent clinical outcome with patent bilateral nostrils. Conclusion: This report highlights a noveland cost-effective post-operative care using glue gun stick to maintain a patent and functional vestibular opening.

Keywords: Nose, stenosis, postoperative care, dilatation, case report, green