Nasal septal perforation

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

• Trauma (i.e. nose picking, nasogastric tube placement)
• Inflammatory/infectious (i.e. sarcoidosis, Wegener granulomatosis)
• Neoplastic causes
• Inhaled substances (i.e. cocaine)
• Medicines (i.e. fluticasone spray)

Mnemonic for causes of nasal septal defects

• Say - Saracoid
• Water - Wegener granulomatosis
• Coke - Cocaine
• Syrup - Syphilis
• Sugarwater - Surgery
• Lemonade - Leprosy

or

• Nothing - Non-Hodgkin T-cell lymphoma

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