Inflammation of the tissues present around the nasal vestibule and which are present near the opening of the nose is known as Nasal Vestibulitis. It is usually caused by the bacteria Staphylococcus aureus. In this condition, the nasal vestibule is affected by dermatitis. This condition also occurs secondary to viral infections, chronic rhinorrhea, URIs and nose picking. Other infections, such as folliculitis, occurring at the entrance of the nose may lead to formation of pimples at the root of the nasal hairs, which may result in crust formation around the nostrils.
Acute vestibulitis is characterized by redness, tenderness and swelling of the skin; whereas; chronic vestibulitis is characterized by hardening and crusting of the vestibular skin. Treatment is done by using antibiotics and cleaning all the crust from the nasal vestibule using cotton applicator dipped in hydrogen peroxide. Antibiotic steroid ointment can also be used. Cauterization is used for chronic fissures.
If nasal vestibulitis is ignored and not treated properly, then it can progress onto severe infections with furuncles or boils and can also result in facial cellulitis. Furthermore, this infection (bacteria) can also spread to the brain via veins which drain from the brain and this can result in cavernous sinus thrombosis, which is a life-threatening and serious condition.
Causes and Risk Factors of Nasal Vestibulitis
This is a bacterial infection caused by staphylococcus aureus. Risk Factors for this condition include: Bad habits like nose picking, viral infections, chronic rhinorrhea, folliculitis of nasal hair and removing your nasal hair when you are suffering from cold or flu.
Signs and Symptoms of Nasal Vestibulitis
- Irritation and pain in the affected nostril or nose, which increases in intensity as the condition worsens.
- Redness over the nasal skin.
- Presence of a lump or a boil or a pimple at the nasal entrance.
- Presence of a lump or a boil or a pimple externally on the nose.
- Difficulty in breathing from the affected nostril.
- Difficulty in blowing the nose.
- Spreading of the infection causes increase in the warmth, redness, and swelling of the skin.
- Patient may experience difficulty in sleeping due to pain.
- If other complications like facial cellulitis occur, then patient may also experience swelling over the nose, on the affected side of the face and under the eyes.
- If the cavernous sinus is involved, then serious symptoms, such as eye swelling or proptosis, double vision and decreased vision are experienced and should not be ignored.
Treatment of Nasal Vestibulitis
As this is a bacterial infection, the treatment is done using antibiotics, such as dicloxacillin. It is very important that the patient complete the entire course of antibiotics, even if the symptoms subside, so as to prevent recurrent infection. Topical antibiotics can also be used. If nasal vestibulitis occurs along with facial cellulitis, then I.V. antibiotics (a combination of 2 antibiotics may be used) are given to fight this infection and also the antibiotics are given for longer duration to avoid recurrence of infection.