Title: A Clinicopathological Study of Nasal Septum Perforation in Tertiary Care Hospital, Kadapa

Authors: Dr V. Sravan Kumar, Dr V. Umamaheswararao

 DOI: https://dx.doi.org/10.18535/jmscr/v9i2.48

Abstract

Background: Septal perforation is an uncommon but bothersome illness. Treatment of nasal septal perforation mainly depends on etiology. The objectives of this study is to review the prevalence of each etiological factor causing septal perforation.

Methods: The material for this study consists of 14 patients presenting with nasal crusts, Nose bleed, Nasal discomfort to the ENT OPD, GGH, Kadapa. All information’s were recorded including age, sex, address, detailed symptomatology, local examination and laboratory reports.

Results: In the present study, we registered 14 nasal septal perforation cases. Among these, 2 patients out of 14 the cause is found to be Leprosy, 1 patient the cause is found to be Atrophic rhinitis, 3patients the cause is found to be Post-operative, 1patient the cause is found to be TB, 2patients the cause is found to be Trauma, 1patient the cause is found to be drug abuse, 1patient the cause is found to be FB, 3patients the cause is found to be unknown.

Conclusion: Though leprosy is supposed to be extinct, the Otorhinolaryngologists shall keep in mind, leprosy as a cause of pathological perforation even today.

Keywords: nasal septal perforation, granulomatous diseases of nose.

References

  1. Younger R, Blokmanis A. nasal septal perforations.j otolaryngology 1985;14: 125-31.
  1. Kuriloff DB. Nasal septal perforations and nasal obstruction. Otolaryngol clin north Am 1989; 22: 333-50.
  2. Brain D. septorhinoplasty : the closure of septal perforations .J otolaryngology 1980;94:495-505
  3. Kridel RWH. Considerations in the etiology, treatment, and repair of septal perforations. Facial Plast Surg Clin N Am. 2004;12:435–450. doi: 10.1016/j.fsc.2004.04.014. 
  4. Newton JR, White PS, Lee MSW. Nasal septal perforation repair using open septoplasty and unilateral bipedicle flaps. J Laryngol Otol. 2003;117:52–55. doi: 10.1258/002221503321046649.
  5. Ayshford CA, Shykhon M, Uppal HS, Wake M. Endoscopic repair of nasal septal perforation with acellular human dermal allograft and an inferior turbinate flap. Clin Otolaryngol. 2003;28:29–33. doi: 10.1046/j.1365-2273.2003.00654.x.
  6. Masing H. Closure of a small perforation. In: Naumann HH, editor. Head and Neck Surgery. Vol. 1. Stuttgart: Georg Thieme Publisher; 1980. pp. 307–309. 
  7. Masing H. Plastic closure of a large septal perforation. In: Naumannn HH, editor. Head and Neck Surgery. Vol. 1. Stuttgart: Georg Thieme Publisher; 1980. pp. 359–362. 
  8. Friedman M, Ibrahim H, Ramakrishnan V. Inferior Turbinate Flap for Repair of Nasal Septal Perforation. Laryngoscope. 2003; 113:1425–1428. doi: 10.1097/00005537-200308000-00031. 
  9. Woolford TJ, Jones NS. Repair of nasal septal perforations using local mucosal flaps and a composite cartilage graft. J Laryng Otol. 2001;115:22–25. doi: 10.1258/0022215011906939. 
  10. Schulz-Coulon H-J. Experiences with the bridge flap technique for the repair of large nasal septal perforations. Rhinology. 1994;32:25–33. 
  11. Brain DJ. Septorhinoplasty: the closure of septal perforations. J Laryngol Otol. 1980; 94:495–505. 
  12. Stoksted P, Vase P. Perforations of the nasal septum following operative procedures. Rhinology. 1978;16:123–138. 
  13. Schoelzel EP, Menzel ML. Nasal Sprays and Perforation of the Nasal Septum. JAMA. 1985;253: 2046. doi: 10.1001/jama.253.14.2046b.
  14. Andre RF, Lohuis PJFM, Vuyk HD. Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines. J Plast Reconstruct Aesth Surg. 2006;59:829–834. doi: 10.1016/j.bjps.2005.11.010.

Corresponding Author

Dr V. Sravan Kumar

Senior Resident in ENT, GGH, Tirupati