Introduction– The stenosis developing after surgical excision or electro–cauterization of the lesions of nasal vestibule is not an uncommon complication. Numerous methods are available for the correction of cicatrical nasal vestibular stenosis and obliterated nares like– skin grafting, local flaps, naso–labial flap, forehead flap etc.. In this study we had combined three procedures viz. scar based flap, split skin graft and regenerated respiratory epithelium in situ for the completely obliterated nares.

Materials and methods: This was the prospective study carried out at Dr BRAM Hospital, Raipur from year 2013 to 2017. It comprised of  total 11 patients , out of which four patients presented with unilateral complete obliteration of nares and seven patients came with vestibular stenosis following surgical treatment of rhinosporidiosis . They were treated by combined three procedures viz. scar based flap, split skin graft and/or regenerated respiratory epithelium in situ.

Results– The results were judged by improvement in the breathing, correction of nasal blockage and long term patency of the nasal passages, with complete recovery from the symptom.

Conclusion– This procedure having an excellent outcome and no complication for the treatment of unilateral complete obliteration of nares and nasal vestibular stenosis.