Congenital and Acquired Lesions of the Nasal Septum: A Practical Guide for Differential Diagnosis

Radiographics ◽  
2008 ◽  
Vol 28 (1) ◽  
pp. 205-223 ◽  
Author(s):  
María P. Valencia ◽  
Mauricio Castillo
Keyword(s):  
Differential Diagnosis ◽  
Nasal Septum ◽  
Practical Guide

scholarly journals Paraganglioma Presenting as a Nasal Septal Mass: Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
James H. Kim ◽  
Nathan Tu ◽  
Bozena Barbara Wrobel
Keyword(s):  
Differential Diagnosis ◽  
Nasal Septum ◽  
Tumor Recurrence ◽  
Rare Case ◽  
Nasal Congestion ◽  
Surgical Excision ◽  
Disease Recurrence ◽  
Mass Case ◽  
Sphenoid Sinuses

Objectives. To describe a rare case of a paraganglioma arising from the nasal septum and review the diagnosis and management of paragangliomas in the nasal cavity and paranasal sinuses.Methods. We present a case of a 70-year-old female presenting with persistent nasal congestion and obstruction. Nasal endoscopy revealed a posterior septal mass approaching the sphenoid sinuses and partially obstructing the nasopharynx. A biopsy of the mass was taken, and histologic analysis confirmed a diagnosis of paraganglioma.Results. The patient underwent an endoscopic resection of the tumor. There has been no evidence of disease recurrence after 3 months of follow‐up.Conclusions. Paragangliomas arising from the nasal septum are exceedingly rare, but should be considered in the differential diagnosis in patients presenting with nasal septal masses. These tumors are typically benign, although few cases of malignant sinonasal paragangliomas have been reported. Treatment requires surgical excision with close follow-up as several cases of tumor recurrence have been reported.

Scopulariopsis: An Invasive Nasal Infection

1998 ◽  
Vol 12 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Mark A. Jabor ◽  
Donald L. Greer ◽  
Ronald G. Amedee
Keyword(s):  
Differential Diagnosis ◽  
Effective Treatment ◽  
Successful Treatment ◽  
Nasal Septum ◽  
Clinical Course ◽  
Antifungal Drugs ◽  
Surgical Debridement ◽  
First Case ◽  
Nasal Disease

Scopulariopsis, a soil saprophyte, rarely produces disease and has not been reported to cause invasive nasal destruction in a nonimmunocompromised host. We report the first case of Scopulariopsis in the otolaryngology literature. Prompt surgical debridement is required and usually adequate. Disagreement exists on the use of antifungals as an effective treatment. A case of invasive Scopulariopsis involving the nasal septum of a 72-year-old man is detailed, and successful treatment consisted of local debridement without antifungal drugs. His diagnosis, clinical course, and outcome illustrates the expanding differential diagnosis faced by the otolaryngologist in patients with nasal disease.

scholarly journals Fibrolipoma presenting as a posterior nasal septum mass: a report of a unique case and review of the literature

2021 ◽  
pp. 201010582110000
Author(s):  
Nor Rahimah Aini ◽  
Sakinah Mohamad ◽  
Seoparjoo Azmel Mohd Isa ◽  
Baharudin Abdullah
Keyword(s):  
Differential Diagnosis ◽  
Nasal Septum ◽  
Definitive Treatment ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Unique Case ◽  
Common Presentation ◽  
Sinonasal Mass

Unilateral sinonasal mass presenting as nasal block is a common presentation but poses a diagnostic challenge. The differential diagnosis includes inflammatory polyps, benign and malignant sinonasal neoplasm. Fibrolipoma presenting in the sinonasal area is an uncommon pathology. As it is uncommon, there is potential for a misdiagnosis, unnecessary investigation and delay in the definitive treatment. We report a patient with a fibrolipoma originating from the posterior nasal septum. The diagnostic and surgical features of this unique case are discussed.

scholarly journals Cocaine-induced midline destruction

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Veerle Ide ◽  
Liesbet Henckaerts ◽  
Peter Vanbrabant ◽  
Steven Vanderschueren
Keyword(s):  
Differential Diagnosis ◽  
Systemic Inflammation ◽  
Neutrophil Elastase ◽  
Human Neutrophil ◽  
Nasal Septum ◽  
Human Neutrophil Elastase ◽  
Proteinase 3 ◽  
Anca Associated Vasculitis ◽  
Septum Perforation ◽  
Nasal Septum Perforation

ABSTRACT In patients presenting with nasal septum perforation, the differential diagnosis between ANCA-associated vasculitis and cocaine-induced midline destruction (CIMD) can be challenging. We describe the case of a 28-year old man who presented with a nasal septum perforation. He admitted the use of cocaine and showed no other symptoms of systemic inflammation. Perinuclear anti-neutrophilic cytoplasmatic antibodies (p-ANCAs) came back positive, as did anti-proteinase 3-antibodies. Further testing revealed antibodies to human neutrophil elastase (HNE), typically found in CIMD but rarely in ANCA-associated vasculitis. The combination of an atypical ANCA-pattern and the detection of HNE-antibodies led to the diagnosis of CIMD. In conclusion, HNE antibodies can be used to distinguish between CIMD and ANCA-associated vasculitis.

Nasal septal carcinoma: initial symptom of nasal septal perforation

1988 ◽  
Vol 102 (9) ◽  
pp. 834-835 ◽  
Author(s):  
M. Echeverria-Zumarraga ◽  
C. Kaiser ◽  
C. Gavilan
Keyword(s):  
Squamous Cell Carcinoma ◽  
Differential Diagnosis ◽  
Nasal Septum ◽  
Early Stage ◽  
Surgical Excision ◽  
Young Female ◽  
Initial Symptom ◽  
Primary Squamous Cell Carcinoma ◽  
Septal Perforation ◽  
Nasal Septal Perforation

AbstractA case of a primary squamous cell carcinoma of the nasal septum in a young female with initial symptom of septal perforation is reported. Carcinoma of the nasal septum is an uncommon entity and there are a few cases reported in the literature. The functional impact of their treatment and the high mortality makes it important to diagnose it at early stage. We discuss the differential diagnosis of septal perforation and recommend early wide surgical excision.

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