Saturday, January 29, 2011

Nasal Septal Perforation

Nasal septal perforation can be seen with the following conditions:
  • Cocaine use: Most common cause of nasal septal perforation.
  • Trauma: Ischemic necrosis due to compression from hematoma, iatrogenic.
  • Wegener granulomatosis: Associated with soft tissue.
  • Sarcoidosis: Associated with soft tissue.
  • Non-Hodgkin Lymphoma: Associated with soft tissue.
  • Infection: Invasive fungal sinusitis, Nasal septal abscess, Klebseilla (rhinoscleroma), syphilis (look for saddle nose deformity), tuberculosis, leprosy.
  • Squamous cell carcinoma:
  • Melanoma:


  • STATdx.
  • Case review series: Head and Neck (2nd ed.).

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