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Nasal vestibular furunculosis: Summarised case series
Shirwa Sheik-Ali1, Sharaf Sheik-Ali2, Azizi Sheik-Ali3
1Manchester NHS Trust United Kingdom.
World Journal of Otorhinolaryngology - Head and Neck Surgery
|September 26, 2022
Summary
Nasal vestibular furunculosis (NVF) typically presents with redness, swelling, and tenderness on the nasal tip, often resolving within 7 days with topical mupirocin. Further research is needed for optimal NVF management.
Area of Science:
- Dermatology
- Otolaryngology
- Infectious Diseases
Background:
- Nasal vestibular furunculosis (NVF) is an acute localized infection of nasal vestibule hair follicles.
- Understanding NVF's presentation and management is crucial for effective patient care.
Purpose of the Study:
- To provide an up-to-date narrative analysis of Nasal Vestibular Furunculosis (NVF).
- To review the current literature on NVF's clinical presentation, complications, and management strategies.
Main Methods:
- A comprehensive literature search was conducted using terms like "Nasal Vestibular Furuncolosis" and "NVF" across Medline, Cochrane Library, and Web of Science.
- Included studies detailed NVF presentation and management; excluded were irrelevant studies or those lacking furunculosis specifics.
Main Results:
- Seven articles published between 2015-2020 met inclusion criteria.
- Common NVF symptoms include nasal tip erythema, swelling, and tenderness, typically resolving in 3-4 days.
- Intranasal mupirocin and oral sodium fusidate were frequent successful treatments, with NVF clearing within 7 days in reported cases.
Conclusions:
- Current research on NVF pathophysiology and management is limited.
- Further studies are needed to address antibiotic resistance, Staphylococcus aureus strains, and optimal treatment plans for NVF.

