Nasal swellings
A middle-aged gentleman presents with complete nasal obstruction and low grade fever for one week. This is a photograph of his nose.
What are the swellings seen in the nose?
What is the most common cause of this condition?
No life threatening complications from UPPP
11 years ago
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5 comments:
is it septal haematoma with abscess formation (that will cause fever)? common cause: injury.
this is not my answer by the way. it's my friend's :).
i think is a septal haematoma cause by a trauma to the nose ( a punch to the nose maybe..)
Could it be septal abscess?
Yes, this is a septal abscess.
By virtue of it appearing on both sides of the nose, one can confidently assume that septal necrosis has set in and this abscess is 'through-and-through.'
The most common cause is trauma to the nose, resulting in septal hematoma and subsequently secondary infection.
Such collections, which are situated sub-perichondrially, will result in septal necrosis within days as cartilage depends solely on its lining perichondrium for nutrition.
One should also beware of intra-cranial septic complications.
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