05 May 2026
: Case report 
Congenital Nasal Vestibular Stenosis in an 11-Year-Old: Case Report, Surgical Management, and a Proposal for Refined Nomenclature
Challenging differential diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Jingjing Guo ABCDEF 1, Shenghao Niu EG 2, Zetao Qian DE 3, Kai Ji DEF 3, Hanghang Zhou BC 1, Xiaorong Lu ADE 4, Xuan-Fen Zhang ABE 4*DOI: 10.12659/AJCR.951330
Am J Case Rep 2026; 27:e951330
Figure 5 Surgical diagram: (A) Longitudinal S-shaped incision design centered on the narrowed right nostril opening. (B) Magnified cross-sectional view showing dissection of the narrowed membrane within the subcutaneous fat layer, separating it into anterior and posterior layers. (C) Flap transposition and resection strategy. Posterior layer tissue (shaded area) is resected from the nasal septum while the anterior flap is transposed posteriorly; anterior layer tissue is resected from the alar side while the posterior flap is transposed anteriorly (arrows indicate flap movement direction). (D) Final postoperative outcome. The staggered flap transposition creates a multiplanar zigzag suture line, effectively expanding the nasal vestibule and preventing linear scar contracture.