The nasal vestibular body: anatomy, clinical features, and treatment considerations

Eur Arch Otorhinolaryngol. 2016 Mar;273(3):777-81. doi: 10.1007/s00405-015-3868-2. Epub 2016 Jan 29.


Nasal obstruction is a common presenting complaint, with many possible etiologies. Herein, we provide an introductory anatomic description, clinical relevance, and proposed nomenclature for an underappreciated soft tissue focus in the nasal vestibule-the nasal vestibular body (NVB)-that can contribute to nasal obstruction in a subset of patients. This is a small mound of dynamic soft tissue in the lateral aspect of the internal nasal valve, situated inferior and anterior to the head of the inferior turbinate that can be missed on routine examination for many salient reasons. In well-selected patients, whose symptoms of nasal obstruction may in part be secondary to the presence of this soft tissue focus, directed testing and tissue reduction can be performed.

Keywords: Deviated septum; Inferior turbinate; Internal nasal valve; Nasal congestion; Nasal obstruction; Nasal vestibular body; Nasal vestibule; Nostril anatomy.

MeSH terms

  • Humans
  • Nasal Cavity* / pathology
  • Nasal Cavity* / physiopathology
  • Nasal Decongestants / therapeutic use*
  • Nasal Obstruction* / etiology
  • Nasal Obstruction* / pathology
  • Nasal Obstruction* / physiopathology
  • Nasal Obstruction* / therapy
  • Nasal Septum / pathology
  • Nasal Septum / physiopathology
  • Natural Orifice Endoscopic Surgery / methods


  • Nasal Decongestants