Nasal vestibulitis

Nasal Vestibulitis: Overview and Causes

Nasal vestibulitis refers to the inflammation and irritation of the nasal vestibule, the front-most part of the nasal passages. This condition is commonly associated with bacterial infections, especially by the bacterium Staphylococcus aureus.

Typical appearance of nasal vestibulitis.

Causes and Risk Factors

The primary causes and factors leading to nasal vestibulitis include:

• Bacterial infections: Staphylococcus aureus is the most common culprit, but other bacteria may also be involved.
• Chronic rhinorrhea: Ongoing nasal discharge can irritate the nasal vestibule.
• Physical irritation: This includes habits like nose picking or frequent rubbing of the nose.
• Viral infections: Some viral infections can predispose the nose to bacterial colonization and subsequent vestibulitis.

Symptoms

Depending on its duration and severity, nasal vestibulitis can manifest as:

Acute Vestibulitis

In the acute phase:

• Reddened skin
• Swelling
• Tenderness and pain in the affected area

Chronic Vestibulitis

Over a longer duration, the condition may lead to:

• Thickened or indurated skin
• Crusting within the nasal vestibule
• Persistent irritation and discomfort

Treatment

Treatment strategies largely depend on the cause and severity of the condition:

• Antibiotic steroid ointment: Topical application can help in reducing bacterial load and inflammation.
• Hygiene: Maintaining cleanliness can prevent further bacterial growth.
• Silver Nitrate Cauterization: Chronic fissures or ulcers that don't respond to conservative treatments may be treated by cauterizing with Silver Nitrate, a procedure typically performed by an otolaryngologist.

Prevention

To avoid the onset or recurrence of nasal vestibulitis:

• Maintain nasal hygiene.
• Avoid nose picking or excessive touching of the nasal area.
• Treat underlying causes such as chronic rhinorrhea promptly.

See Also

• Staphylococcus infections
• Nasal cavity
• Dermatitis

References

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