Inflammation nasal vestibulitis

Proven Lupus Treatment By Dr Gary Levin

Natural Lupus Treatment System

Get Instant Access

Vestibulitis Nasal

Fig. 3.47 Vestibulitis presents as crusting and irritation in the anterior nares with resulting nasal obstruction. Examination shows excoriated vestibular skin and septal mucous membrane. Rubbing or over-diligent cleaning of the nose by the patient usually causes vestibulitis, particularly if, as in this case, the septum is deviated anteriorly and impinges on the lateral wall of the nose. Advice and the use of antibiotic and corticosteroid ointment are effective in controlling vestibulitis. Correction of the septum may be necessary.

Fig. 3.47 Vestibulitis presents as crusting and irritation in the anterior nares with resulting nasal obstruction. Examination shows excoriated vestibular skin and septal mucous membrane. Rubbing or over-diligent cleaning of the nose by the patient usually causes vestibulitis, particularly if, as in this case, the septum is deviated anteriorly and impinges on the lateral wall of the nose. Advice and the use of antibiotic and corticosteroid ointment are effective in controlling vestibulitis. Correction of the septum may be necessary.

Fig. 3.48 Nasal vestibulitis with squamous epithelium replacing the mucosa.

A deviation of the septum has predisposed to a chronic vestibulitis. Digital irritation, or the use of cocaine, which may also lead to a septal perforation, may underlie this problem.

Septoplasty Splint

Fig. 3.49 Vestibulitis in a child overlying a grossly deviated anterior septum.

Septal surgery is avoided in children, but cases in which the obstruction is gross require a conservative septoplasty. Exessive cartilage resection may retard nasal growth, predisposing to saddling or an infantile nose (Fig 3.27a).

Fig. 3.50 Vestibulitis. Painful crusting of the nasal vestibule and anterior nares may be a simple eczematous type of skin lesion which settles with a topical antibiotic and steroid ointment. There should, however, be an awareness that this vestibulitis is a granuloma, or part of the manifestation of systemic disease such as polyarteritis nodosa or systemic lupus erythematosus. A further possibility is an "irritative" vestibulitis from cocaine snuff, or columellar carcinoma, as in this case

Fig. 3.51 Granular rhinitis.

Granulation tissues in the nose requires biopsy. Sarcoidosis not infrequently involves the upper respiratory tract mucosa of the nasal fossae and larynx. In the nose the granulations are pale, but tuberculosis, malignant granuloma, and neoplasia are among the differential diagnoses.

Vestibulitis

Fig. 3.50 Vestibulitis. Painful crusting of the nasal vestibule and anterior nares may be a simple eczematous type of skin lesion which settles with a topical antibiotic and steroid ointment. There should, however, be an awareness that this vestibulitis is a granuloma, or part of the manifestation of systemic disease such as polyarteritis nodosa or systemic lupus erythematosus. A further possibility is an "irritative" vestibulitis from cocaine snuff, or columellar carcinoma, as in this case

Vestibulitis Caused StressNasal Adhesion

Fig. 3.52 Nasal adhesion. Adhesion or synechiae may follow nasal trauma (including surgical trauma) and bridge the lateral wall of the nose, frequently from the inferior turbinate to the septum, causing nasal obstruction. Recurrence follows surgical division of the larger adhesions unless an indwelling silastic splint is left in situ until mucosa underlying the adhesion regenerates.

Fig. 3.52 Nasal adhesion. Adhesion or synechiae may follow nasal trauma (including surgical trauma) and bridge the lateral wall of the nose, frequently from the inferior turbinate to the septum, causing nasal obstruction. Recurrence follows surgical division of the larger adhesions unless an indwelling silastic splint is left in situ until mucosa underlying the adhesion regenerates.

Cellulitis Nose Bridge

Fig. 3.53 Furuncles and cellulitis of the columella (a). These may spread to involve the skin of the nose and face (b). Treatment is with systemic penicillin.

Was this article helpful?

0 0
Defeat Drugs and Live Free

Defeat Drugs and Live Free

Being addicted to drugs is a complicated matter condition that's been specified as a disorder that evidences in the obsessional thinking about and utilization of drugs. It's a matter that might continue to get worse and become disastrous and deadly if left untreated.

Get My Free Ebook


Post a comment