VESTIBULE OF NOSE

Anterior and inferior part of nasal cavity

Lined by skin
Contain sebaceous gland, hair follicles and
hair(vibrissae)
Upper limit on lateral wall is marked by limen
nasi(nasal valve)
Lined by stratified squamous
epithelium(protective layer)

A layer of mucus covers the vibrissae
Superior edge of the medial crus of the
greater alar cartilage form the boundary
between nasal vestibule and the nasal cavity
Medial edge of nasal vestibule formed by the
mobile septum consisting of the columella in
the medial part of the vestibule overlying the
medial crura of the alar cartilage
At the junction of the squamous epithelium of
vestibule and respiratory epithelium lies
Kiesselbachs plexus which secretion unsure
the nourishment of the cells
Even a mild trauma could cause bleeding in
this region
Diseases of nasal vestibule
Furuncle or boil

infection of hair follicle by staphylococcus aureus
Trauma from picking of nose or plucking of nasal vibrissae
Painful and tender
May rupture spontaneously in nasal vestibule
Treatment include warm compresses, analgesics, topical
and systemic antibiotics
Incision and drainage if fluctuant area present
Do not squeez because has danger of infection to
cavernous sinus through venous thrombophlebitis
May complicate into cellulitis of upper lip or septal abscess
vestibulitis
Diffuse dermatitis of nasal vestibule
Nasal discharge coupled wt trauma of handkerchief is
the usual predisposing factor
S.aureus is the causative organism
Acute form:vestibular skin is red, swollen and tender,
crust and scales cover area of skin erosion. Upper lip
may be involved
Chronic form: induration of vestibular skin with painful
fissures and crusting
Treatment consist of cleaning vestibule wt cotton
aplicator soaked in hydrogen peroxide and apply
antibiotic steroid ointment
Stenosis and atresia of nares
Accidental or surgical trauma to nasal tip or
vestibule, destructive inflammatory lesions of
nose
Congenital atresia due to noncanalization of
epithelial plug is rare
Corrected by reconstructive plastic procedures
tumors
Nasoalveolar cyst. A smooth bulge in lateral
wall and floor of vestibule. Excised by
sublabial approach

Papilloma or wart
Treated by surgical excison under local
anaesthesia

Squamous cell carcinoma
Arises from lateral wall of vestibule and may
extend into nasal floor, columella and upper
lip
Can metastasize to parotid and submandibular
nodes
Treated by surgical excision or irradiation