Traumatic septal perforation

Introduction to traumatic nasal septum perforation Traumatic nasal septal perforation is caused by trauma or nasal septum correction surgery sequelae, resulting in permanent perforation of the nasal septum through both sides of the nasal cavity. The clinical manifestations are related to the size of the site, and there are many nasal bleeding or blood stasis. Nasal septum abscess caused by nasal or nasal septum trauma, corrosive and irritating substances such as chromic acid, whisk, mercury, cement, lime, etc., long-term stimulation of ulcers caused by nasal septum mucosa. The symptoms of perforation of the nasal septum are related to the size of the perforation. The perforation is large, the nasal mucosa is dry, and even the atrophy state. The perforation edge is easy to have suede or purulent attachment, and a small amount of nosebleed or blood in the sputum often occurs. There are nasal obstruction, olfactory sensation, headache, etc., small perforations in the front, the symptoms are generally light, whistling sounds can occur when breathing, more obvious during strenuous activities, and there are no obvious symptoms in the posterior part of the nasal septum. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific people Mode of infection: non-infectious Complications: headache

Causes of traumatic nasal septal perforation

1. Trauma: such as shrapnel or bullet wounds, stab wounds, cuts, etc.

2. Surgical sequelae: Inadvertently caused by nasal septum correction; freezing, laser, electrocautery, etc., improper cartilage and cartilage necrosis; excessive burning of chemical corrosive agents can also cause.

3. Hematoma infection: nasal impact, contusion often causes nasal septum hematoma, if there is secondary infection can form abscess, causing massive cartilage necrosis and perforation.

Traumatic nasal septum perforation prevention

1. Adjust daily life and workload, and regularly carry out activities and exercise to avoid fatigue.

Traumatic nasal septal perforation complications Complications

There may also be complications such as nasal obstruction, olfactory loss, and headache.

Traumatic nasal septum perforation symptoms Common symptoms Nasal bleeding Nasal pain Nasal defect Trauma olfactory dysfunction Nasal septum to one side or... Nasal exposed nose above defect Nasal end shape Poor nasal septum perforation

It is related to the size of the perforation. The perforation is large, the nasal mucosa is dry, and even the atrophy state. The perforation edge is easy to have suede or purulent attachment. Frequently, a small amount of nosebleed or blood in the sputum often occurs. Others may have nasal obstruction and olfactory sense. Decreased, headache, etc., small perforation in the front, the symptoms are generally light, whistling sounds can occur when breathing, more obvious during strenuous activities, and there are no obvious symptoms in the perforations in the posterior part of the nasal septum.

Examination of traumatic nasal septal perforation

Nasal examination is generally easy to diagnose. A nose can be diagnosed. The location and size of the perforation should be clarified during diagnosis and the cause should be identified at the same time. Sometimes small perforations are often covered by scars and ignored, and the scars should be removed for careful examination.

Diagnosis and diagnosis of traumatic nasal septal perforation

diagnosis

Diagnosis can be performed based on clinical manifestations and examinations.

Differential diagnosis

Different from traumatic nosebleeds, nasal examination can be identified.

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