Nasal septal cartilage perichondritis

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Nasal septal cartilage perichondritis

The cause of perichondritis of the nasal septum in children is more often an injury with a hematoma, an abscess, which leads to necrosis of its quadrangular cartilage due to inflammation of the perichondrium, often combined with an impaired blood supply to the cartilage. Nasal septal cartilage perichondritis occurs as a complication in infections, osteomyelitis of the upper jaw, chronic specific granulomatous diseases (tuberculosis, etc.).

With perichondritis of the nasal septum as a result of trauma, the quadrangular cartilage is affected.

Nasal septal cartilage perichondritis symptoms

Characterized by pain, difficulty in nasal breathing, fever, swelling in the cartilaginous part of the nasal septum.

Computed tomography of the sinuses and nasal bones (CT) is used to diagnose the source of perichondritis of the nasal septum.


Nasal septal cartilage perichondritis treatment

If conservative treatment fails, patients are operated on. The essence of the operation for perichondritis is excision of the cartilaginous septum of the nose within the healthy tissue of cartilage, drainage of purulent cavities, and resection of necrotic masses of the adjacent nasal bones with a bone spoon in osteomyelitis, etc.

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