Nasal septal perforation is a rarely reported complication of rhinitis medicamentosa. We describe such a complication in a 54-year-old man, and we discuss the clinical, pathologic, and imaging aspects of this case.
References
1.
GrafP.Rhinitis medicamentosa: Aspects of pathophysiology and treatment. Allergy1997;52(40 suppl):28–34.
GrafP.Benzalkonium chloride as a preservative in nasal solutions: Re-examining the data. Respir Med2001;95:728–33.
4.
BostonM, DobratzEJ, BuescherES, DarrowDH. Effects of nasal saline spray on human neutrophils. Arch Otolaryngol Head Neck Surg2003;129:660–4.
5.
JaradehSS, SmithTL, TorricoL, Autonomic nervous system evaluation of patients with vasomotor rhinitis. Laryngoscope2000;110:1828–31.
6.
KimmelmanCP, AliGH. Vasomotor rhinitis. Otolaryngol Clin North Am1986;19:65–71.
7.
GrafP, HallenH, JutoJE. The pathophysiology and treatment of rhinitis medicamentosa. Clin Otolaryngol Allied Sci1995;20:224–9.
8.
VilenskyW.Illicit and licit drugs causing perforation of the nasal septum. J Forensic Sci1982;27:958–62.
9.
SchoelzelEP, MenzelML. Nasal sprays and perforation of the nasal septum [letter]. JAMA1985;253:2046.
10.
KuriloffDB, KimmelmanCP. Osteocartilaginous necrosis of the sinonasal tract following cocaine abuse. Laryngoscope1989;99:918–24.
11.
YewellJ, HaydonR, ArcherS, ManaligodJM. Complications of intranasal prescription narcotic abuse. Ann Otol Rhinol Laryngol2002;111:174–7.
12.
KridelRW. Septal perforation repair. Otolaryngol Clin North Am1999;32:695–724.
13.
DiamantopoulosII, JonesNS. The investigation of nasal septal perforations and ulcers. J Laryngol Otol2001;115:541–4.
14.
MurrayA, McGarryGW. The clinical value of septal perforation biopsy. Clin Otolaryngol Allied Sci2000;25:107–9.
15.
LindemannJ, LeiackerR, StehmerV, Intranasal temperature and humidity profile in patients with nasal septal perforation before and after surgical closure. Clin Otolaryngol Allied Sci2001;26:433–7.
16.
HahnelS, Ertl-WagnerB, TasmanAJ, Relative value of MR imaging as compared with CT in the diagnosis of inflammatory paranasal sinus disease. Radiology1999;210:171–6.
