Carla Pereira1,2, Alfonso Santamaría1,3, Cristobal Langdon1,3, Mauricio López-Chacón1,3, José Hernández-Rodríguez4, Isam Alobid5,6. 1. Department of Otorhinolaryngology Rhinology and Skull Base. Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain. 2. Department of Otorhinolaryngology, Barros Luco Trudeu Hospital, Santiago, Chile. 3. Clinical and Experimental Respiratory Immunoallergy, IDIBAPS; CIBERES, Barcelona, Spain. 4. Vasculitis Research Unit, Department of Autoimmune Diseases, Hospital Clinic of Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain. 5. Department of Otorhinolaryngology Rhinology and Skull Base. Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain. isamalobid@gmail.com. 6. Clinical and Experimental Respiratory Immunoallergy, IDIBAPS; CIBERES, Barcelona, Spain. isamalobid@gmail.com.
Abstract
PURPOSE OF REVIEW: Nasal septum perforation (NSP) is a communication between the two nasal cavities. This review contributes to the better knowledge of NSP causes, diagnosis, and treatment. RECENT FINDINGS: NSP prevalence is about 1%. Clinical presentation may range from absence of symptoms to the presence of bothersome sinonasal symptoms. NSP is more frequently caused by trauma or post-surgery, inflammatory diseases, and abuse substances. Conservative management (nasal irrigation, topical use of antibiotic or lubricant ointments, or placement of prosthesis) is considered the first-line treatment. Symptomatic NSP not improving with local therapies usually requires surgical approach. Selection of the technique for the endoscopic septal repair depends on perforation characteristics and surgeon experience. When NSP is diagnosed, its cause has to be promptly determined. Most of them can be controlled with conservative measures. Surgical/endoscopic approaches are usually needed in refractory cases, and new repair techniques have to be considered.
PURPOSE OF REVIEW: Nasal septum perforation (NSP) is a communication between the two nasal cavities. This review contributes to the better knowledge of NSP causes, diagnosis, and treatment. RECENT FINDINGS: NSP prevalence is about 1%. Clinical presentation may range from absence of symptoms to the presence of bothersome sinonasal symptoms. NSP is more frequently caused by trauma or post-surgery, inflammatory diseases, and abuse substances. Conservative management (nasal irrigation, topical use of antibiotic or lubricant ointments, or placement of prosthesis) is considered the first-line treatment. Symptomatic NSP not improving with local therapies usually requires surgical approach. Selection of the technique for the endoscopic septal repair depends on perforation characteristics and surgeon experience. When NSP is diagnosed, its cause has to be promptly determined. Most of them can be controlled with conservative measures. Surgical/endoscopic approaches are usually needed in refractory cases, and new repair techniques have to be considered.
Authors: Erika Reategui Schwarz; Katerina G Oikonomou; Megan Reynolds; Juliette Kim; Rajeev L Balmiki; Stephanie A Sterling Journal: J Investig Med High Impact Case Rep Date: 2017-07-06
Authors: Javier David Benitez Fuentes; Alfonso Lopez de Sa Lorenzo; Alberto Elpidio Calvo Elias; Carmen Toledano Rojas; Monica Granja Ortega Journal: Cureus Date: 2022-07-12
Authors: Alfonso Luca Pendolino; Samit Unadkat; Henry Zhang; Monica Pendolino; Gerolamo Bianchi; Premjit S Randhawa; Peter J Andrews Journal: SAGE Open Med Date: 2020-07-01