nasal septal perforation


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nasal septal perforation

A hole through the nasal septum, usually the result of chronic inflammation caused by infection or repeated cocaine inhalation.
See also: perforation
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The manifestation in our patient was limited to nasal septal perforation. The abnormal findings of the paranasal sinus are reported to appear in 85% of GPA patients, 25% of whom present only these symptoms [13].
Nasal septal perforation is rare but can be the only manifestation of drug-induced AAV.
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. Once rhinitis medicamentosa is diagnosed and the offending agent is stopped, patients typically experience rebound nasal congestion.
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.
Nasal septal perforations. J Otolaryngol 1985:14:125-31.
One of the most common complications of nasal septal surgery is iatrogenic (surgically created) nasal septal perforations. While many of these perforations are asymptomatic, others can create long-term problems.