Nasal Vestibulitis: Treatment and Application Tips - Otolaryngology

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Nasal vestibulitis


Hello doctor, I previously visited a physician because my nose hurt when pressed.
The doctor at the clinic diagnosed me with vestibulitis of the nose and provided me with a small jar of ointment to apply twice a day.
However, I am unsure whether to apply it to the outside of my nose or the inside of my nostrils.
Could you please clarify?

Xiao Yi, 10~19 year old female. Ask Date: 2019/10/11

Dr. Zheng Jueyi reply Otolaryngology


Hello: It should be applied to the inside of the nostrils.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/10/11

More Info


Nasal vestibulitis is an inflammation of the nasal vestibule, which is the area just inside the nostrils. It can be caused by various factors, including infections, irritants, or trauma. Symptoms often include pain, redness, swelling, and sometimes crusting in the nasal vestibule. Treatment typically involves the application of topical antibiotics or antiseptic ointments to help reduce inflammation and prevent infection.

In your case, the doctor has prescribed a topical ointment, which is a common treatment for nasal vestibulitis. It is important to apply the ointment correctly to ensure its effectiveness. Generally, the ointment should be applied to the outer part of the nostrils (the external vestibule) rather than the inside of the nasal passages. Applying it externally helps to soothe the irritated skin and allows the medication to work on the inflamed area without causing further irritation to the sensitive mucous membranes inside the nose.

Here are some additional tips for managing nasal vestibulitis:
1. Hygiene: Keep the area clean and avoid picking at the nose or inserting objects into the nostrils, as this can exacerbate the condition.

2. Moisturization: If the area is dry or crusty, applying a gentle moisturizer or saline nasal spray can help keep the vestibule hydrated and promote healing.

3. Avoid Irritants: Stay away from irritants such as smoke, strong odors, or allergens that can worsen inflammation.

4. Follow-Up: If symptoms persist or worsen despite treatment, it is essential to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments or further investigations.

5. Avoid Overuse of Topical Treatments: While it is important to follow your doctor's instructions regarding the application of the ointment, avoid overusing topical treatments, as this can lead to skin irritation or other complications.

6. Consider Underlying Conditions: If you have a history of nasal issues, such as chronic sinusitis or allergies, addressing these underlying conditions may help prevent recurrence of nasal vestibulitis.

7. Consultation with a Specialist: If you find that your symptoms are not improving or if you experience recurrent episodes, consider consulting an ear, nose, and throat (ENT) specialist for a more comprehensive evaluation and tailored treatment plan.

In summary, apply the ointment to the outer part of your nostrils as directed by your doctor. Maintain good nasal hygiene, avoid irritants, and keep the area moisturized. If your symptoms do not improve, seek further medical advice. Nasal vestibulitis can often be managed effectively with proper care and attention.

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