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The patient was diagnosed with rhinitis medicamentosa and resultant nasal septal perforation secondary to his prolonged use of OTC nasal sprays.
Rhinitis medicamentosa is a clinical diagnosis that usually does not require imaging unless it is complicated by a superimposed inflammatory or neoplastic process or nasal septal perforation.
The first case of nasal septal perforation secondary to cocaine use was reported by Owens in 1912.
For the purpose of this article, a patient is considered to have a CIMDL if he or she has at least two of these three conditions: (1) a nasal septal perforation, (2) lateral nasal wall destruction of the inferior or middle turbinate in the maxillary or ethmoid sinus, or (3) hard palate involvement, either clinically or radiographically.
5,6] In this article, we describe the case of a 12-year-old boy who had severe Crohn's disease and a nasal septal perforation.
One of the most common complications of nasal septal surgery is iatrogenic (surgically created) nasal septal perforations.
Nasal septal perforations were reported in 2 patients of 2,335 treated with ZETONNA compared with none of 892 treated with placebo.
Other less common side effects include headache, epistaxis, nasal septal perforations and ulcerations, pharyngolaryngeal pain, post-nasal drip, cough and urinary tract infection.