Presentation
Chronic sinusitis and rhinorrhea. Long term use of nasal decongestants. Nasal septum perforation on examination
Patient Data
Age: 45
Gender: Male
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Small hole in the central cartilaginous nasal septum. Bony septum intact.
Case Discussion
Vasoconstrictors in the nasal decongestants cause local ischemia/infarction of the cartilage with chronic use in much the same way as cocaine in illicit users.
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