Diagnosis:
Young patient with:
- Fleshy immobile mass in the midline of the hard palate
torus palatinus
Treatment:
Torus palatinus
None unless the growth becomes symptomatic or interferes with speech or eating.
Diagnosis:
Whistling noise during respiration in a patient with recent rhinoplasty
Nasal septal perforation
Other conditions that can cause septal perforation include: self-inflicted trauma (nose picking), syphilis, tuberculosis, intranasal cocaine use, sarcoidosis and granulomatosis with polyangiitis (Wegner’s).
Pathophysiology:
Nasal septal perforation s/p rhinoplasty
Septal hematoma or septal abscess
What type of patients typically get nasal polyps
- Asthmatics
- Patients with allergy disorders
- Patients with inflammatory conditions of the nasal mucosa.
Clinical Manifestation:
Child with:
- foul odor
- halitosis
- nasal bleeding
Nasal foreign body
What might happen to a patient who forgets to remove their nasal packing?
Toxic shock syndrome
Clinical Manifestation:
- rhinorrhea
- nasal pruritus
- cough
- dyspnea
- edematous, pale nasal mucosa on physical exam
Allergic rhinitis
These patients may also have polyps!
Pathophysiology:
Nasal furunculosis
Nose picking or nasal hair plucking leading to staphylococcal folliculitis infection.
What is a potentially life threatening complication of nasal furunculosis?
spread to the cavernous sinus
Clinical Manifestation:
Nasal furunculosis
- Pain
- Tenderness
- Erythema of the nasal vestibule
What viral infection is strongly associated with undifferentiated nasopharyngeal cancer?
Epstein-Barr virus infection
This cancer is also associated with smoking and chronic nitrosamine consumption (salted fish diets).
