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The septal cartilage has no blood supply of its own and receives all of its nutrients and oxygen from the perichondrium. An untreated septal hematoma may lead to the destruction of the septum and immediate drainage is necessary. Untimely diagnosis and/or treatment of septal hematomas can cause what is called a saddle nose deformity. [4]
Saddle nose is a condition associated with nasal trauma, congenital syphilis, relapsing polychondritis, granulomatosis with polyangiitis, cocaine abuse, and leprosy, among other conditions. [1] The most common cause is nasal trauma. It is characterized by a loss of height of the nose, because of the collapse of the nasal bridge. The depressed ...
External nasal deformity [7] Incomplete correction with persistent nasal symptoms [7] Nasal septum perforation [7] due to bilateral trauma of the mucoperichondrial flaps opposite each other. Saddle nose due to over-resection of the dorsal wall of the septal cartilage; Scarring inside the nose and nose bleeding [7] Septal hematoma [7] and septal ...
Potential complications of a nasal septal abscess include cavernous sinus thrombophlebitis, septal perforation, or saddle deformity due to cartilage necrosis. [ citation needed ] Cause
Biopsy of nasal cartilage revealed loss of the cartilage matrix and a hyperplastic mucous membrane. Jaksch von Wartenhorst considered this was an undescribed degenerative disorder of cartilage and named it Polychondropathia. He even took his patient's occupation into consideration, and related the cause to excessive alcohol intake. [7]
Other signs of advanced leprosy may include loss of eyebrows and saddle-nose deformity. Antibiotics used during the treatment will kill the bacteria that cause leprosy.
In the case of the second cause, the sensation of obstruction is subjective. Bleeding from the nose, also called epistaxis, may occur when the dried discharge (crusts) are removed. Septal perforation and dermatitis of nasal vestibule can occur. The nose may show a saddle-nose deformity.
However, if diagnosis of congenital syphilis is delayed until Hutchinson’s triad is noted–among other signs and symptoms, such as nasal cartilage destruction (saddle nose), frontal bossing, joint swelling (Clutton joints), tibial thickening (Saber shins), hard palate defect–the damage is irreversible. [4]