Sunday, February 06, 2005

Q1: Nasal deformity


Nasal deformity Posted by Hello

This is a middle-aged construction worker who had a septal abscess drained 2 weeks prior to this photo. What type of deformity do you see in his external nose?

What could be other causes of this deformity?

5 comments:

Anonymous said...

septum displacement

Anonymous said...

Saddle Nose??? Not very sure.

Anonymous said...

Is it a saddle nose due to necrosis of the septal cartilage?

Yoke-Yeow Yap said...

Yes, this is a SADDLE NOSE DEFORMITY.

And yes, also to the second answer - it is due to necrosis of the nasal septum, enough to compromise the supporting struts to the external nose structure.

Other causes (besides a septal hematoma/abscess) are septal perforation and granulomatous diseases of the nose (eg. Syphillis, Wegener's disease, T-cell lymphoma, etc.)

Shyang said...

Saddle Nose
1.Necrosis secondary to septal abscess
2.Excessive removal of septum durin SMR oepration
3.Depressed fracture of nasal bone

good blog mr.yap!
having my ENT exam tmr!
good for my revision!
thanks a lot!