A man, aged 48, complained of a nasal obstruction on the right side of many years' duration, which he believed resulted from a fractured skull. He also complained of dripping from the right nostril. On examination I thought the right nostril was filled with pale polypi, but I found only thick mucus. There was some polypoid tissue in the anterior ethmoid region. The antrum was clear on transillumination, and on irrigation was found to be free of pus.
The septum was straight, but the right posterior naris was absolutely closed. The right eustachian tube could be inflated easily through the left nostril. The nasopharynx was normal. The atresia was due to a continuation of the bony septum at an absolute right angle. This, of course, had nothing to do with the injury to the skull, but was, I believe, congenital.
Because of reports in the literature of the difficulty of
SMITH C. REMOVAL OF THE NASAL SEPTUM. Arch Otolaryngol. 1934;20(5):709–710. doi:10.1001/archotol.1934.03600050096011