Septal Perforations are late complications of chronic nose bleeds in patients with Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Disease. Hereditary Hemorrhagic Telangiectasia (HHT) is a genetic disease characterized by aberrant overgrowth and proliferation (dysplasia) of vascular tissue known as telangiectasias and arteriovenous malformations (AVMs) within mucosal membranes of the body. HHT presents with […]
Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of fragile capillaries that bleed with minimal agitation. Telangiectasias, commonly involve the nasal mucosa causing recurrent nosebleeds that may be severe enough to require hospitalization, surgical cauterization as well as blood and/or iron transfusions. Download Article PDF Click here to learn more.
Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of weak bulging capillaries that bleed with little to no trauma or insult. They most commonly affect the nasal mucosa, but also involve the gut, skin, brain and lungs as well. Clinically patients most commonly report a history of recurrent nosebleeds (epistaxis) before […]
Autoimmune disorders are characterized by antibodies that turn against the body’s own normal tissues. While typical antibodies fight off viruses, bacteria, and cancer cells, pathological autoantibodies directed against the bodies own tissues can result in complex autoimmune disorders. Wegener’s granulomatosis is an autoimmune disorder that attacks blood vessels throughout the body. Download article in PDF […]
We have coined the term ‘Mega-perforation’ to refer to a septal perforation that approaches the limits of reparability. Typically perforations greater than 3.0-3.5cm and/or greater than 75% of the anterior septum size fall into this category. The “watch and wait” approach to managing any septal perforations is typically the wrong approach because perforations increase in […]
Septal perforation (a hole in the nasal septum) is considered a major complication after septoplasty. Septoplasty is typically performed to correct a deviated septum in a patient who complains of nasal obstruction. In a successful case the obstruction is relieved, the septum is straight, and the patient is happy with their newfound nasal airflow. A […]
The nose is the most commonly injured facial bone. A fractured nose must be evaluated immediately for the presence of a septal hematoma (a large blot clot involving the nasal septum). If not drained promptly a septal hematoma may lead to infection, septal perforation, and long-term nasal deformity. If a perforation has developed a corrective […]
Nose picking is one of the leading causes of epistaxis (nose bleeds) and a common cause of septal perforations (a hole in the nasal septum). Nose picking (rhinotillexis) is defined as the insertion of the finger and/or object into the nose for the purpose of removing nasal secretions, mucus, crusts and so forth. Download article […]
Septal perforation surgery is likely one of the most difficult reconstructive surgical procedures performed by a nasal reconstructive surgeon. Long-term follow-up is mandatory to insure that the perforation heals well without complications. Download article in PDF format Click here to learn more.