Perforation of Nasal Septum: Etiology and Diagnosis

Summary Introduction:  The nasal septum perforation is an occasional finding of rhinoscopy and most patients are asymptomatic. However, there are several possible etiologies of this condition, making necessary a thorough investigation. Objective:  To review the literature the main causes of septal p...

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Published inArquivos internacionais de otorrinolaringologia Vol. 14; no. 4; pp. 467 - 471
Main Authors Fornazieri, Marco Aurélio, Moreira, Jemima Herrero, Pilan, Renata, Voegels, Richard Louis
Format Journal Article
LanguageEnglish
Published Rio de Janeiro, Brazil Thieme Publicações Ltda 01.10.2010
Subjects
Review Article
nasal septum
granuloma
diagnosis
diagnóstico
septo nasal
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Summary:Summary Introduction:  The nasal septum perforation is an occasional finding of rhinoscopy and most patients are asymptomatic. However, there are several possible etiologies of this condition, making necessary a thorough investigation. Objective:  To review the literature the main causes of septal perforation and describe the diagnostic tests currently used. Method: A systematic literature review of journals indexed identifiable until December 2008. Final Comments:  The main causes are the traumatic / iatrogenic nasal drug use, exposure to toxic gases, inflammatory and infectious diseases and neoplasms. The diagnosis is based on detailed medical history, focusing on occupation and origin of the patient, observation of the characteristics of mucosal injury on biopsy and collection of additional tests such as ANCA, guided by the main suspect.
ISSN:1809-4872
1809-4856
DOI:10.1590/S1809-48722010000400015