Granuloma of the nasal septum affords an interesting problem for differential diagnosis as well as for treatment. The diagnosis is of the utmost importance for avoiding faulty treatment. All too often inadequate or improper therapy aggravates the lesion, if it does not actually incite a fatal outcome.
The most common forms of granuloma arising from the nasal septum are hemangioma, papilloma, carcinoma, fibroma, polypi, tuberculoma and rhinoscleroma. Any granuloma of the nasal septum not arising from infection or from trauma by a foreign substance is casually considered as malignant in origin because it bleeds freely when touched. Often the granulomatous mass within the nares is sufficiently large and swollen to make it almost impossible to locate its attachment. However, it is well worth spending some time using vasoconstrictors and a probe to ascertain the point of attachment. In a case of any of these conditions, besides a careful physical
WEIDLEIN IF. HEMANGIOMA OF THE NASAL SEPTUM: REPORT OF THREE CASES. Arch Otolaryngol. 1936;23(6):682–685. doi:10.1001/archotol.1936.00640040694009
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