Cartilaginous nasal septum perforation

Case contributed by Dr Chris O'Donnell

Presentation

Chronic sinusitis and rhinorrhea. Long term use of nasal decongestants. Nasal septum perforation on examination

Patient Data

Age: 45
Gender: Male
CT

CT scan to assess the paranasal sinuses

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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Case information

rID: 32937
Published: 21st Dec 2014
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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