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A nasal septum perforation is a medical condition in which the nasal septum, the bony/cartilaginous wall dividing the nasal cavities, develops a hole or fissure. [1]This may be brought on directly, as in the case of nasal piercings, or indirectly, as by long-term topical drug application, including nasal administration of ethylphenidate, methamphetamine, cocaine, crushed prescription pills, or ...
Septoplasty (Latin: saeptum, "septum" + Ancient Greek: πλάσσειν, romanized: plassein, "to shape"), or alternatively submucous septal resection and septal reconstruction, [1] is a corrective surgical procedure done to straighten a deviated nasal septum – the nasal septum being the partition between the two nasal cavities. [2]
The exact mechanism for the formation of hematoma from nasal trauma is controversial, but thought to occur in nasal septal hematomas when there is forced to the nasal cartilage. The force causes the perichondrial blood vessels to leak and rupture in the nasal septum. [7] The cartilage in the septum is avascular and can be 2–4 mm thick.
Septoplasty is a surgical procedure involving the correction of the nasal septum, which refers to the bone and cartilage dividing the space between the nostrils. When a nasal septum is bent or crooked, it indicates the narrowing or blockage of the airway, leading to breathing difficulties and worsened sinus infections due to poor drainage. [13]
Treatment is typically with pain medication and cold compresses. [1] Reduction, if needed, can typically occur after the swelling has come down. [1] Depending on the type of fracture reduction may be closed or open. [3] Outcomes are generally good. [5] Nasal fractures are common, comprising about 40% of facial fractures.
The autologous grafts usually are harvested from the nasal septum, but, if it has insufficient cartilage (as can occur in a revision rhinoplasty), then either a costal cartilage graft (from the rib cage) or an auricular cartilage graft (concha from the ear) is harvested from the patient's body. Homologous (donor) rib cartilage is also sometimes ...
Harvesting of nasal cartilage is minimally invasive, can be performed in an outpatient procedure under local anesthesia and is associated with minimal morbidity. [6] NC can be isolated from nasal septal cartilage biopsies by enzymatic digestion using collagenase type I, II or IV (at different combination and concentration – varying from 0.15% to 0.6% –) alone or after an initial short pre ...
A deviated septum is an abnormal condition in which the top of the cartilaginous ridge leans to the left or the right, causing obstruction of the affected nasal passage. It is common for nasal septa to depart from the exact centerline; the septum is only considered deviated if the shift is substantial or causes problems. [ 3 ]
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