Diseases of the nasal septum (鼻中膈疾病) - Septal perforation (鼻中膈穿孔)

Septal perforation (鼻中膈穿孔)

Aetiology:

• Traumatic – after septal surgery, nose picking, cocaine sniffing and pressure from foreign bodies and nasal polyps.
• Infective – due to syphilis and tuberculosis.
• Chronic inflammatory – Wegener’s granulomatosis is a non-neoplastic upper airways granuloma associated with focal lung and kidney lesions. (Lethal) midline granuloma is thought to be an atypical lymphoma occurring in the midline of the face.

Clinical features:

Asymptomatic, or nasal crusting and epistaxis are characteristic of septal perforation.

Management:

Treatment is by removal of crusts, nasal douches and treatment of underlying systemic conditions.