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April 1969

Squamous Cell Carcinoma of the Nasal Septum

Author Affiliations

New Orleans
From the Department of Otolaryngology, Louisiana State University Medical School, New Orleans.

Arch Otolaryngol. 1969;89(4):585-587. doi:10.1001/archotol.1969.00770020587005

REVIEW of the medical literature reveals few reports of primary carcinoma of the nasal septum. A recent review by Deutsch1 found 27 cases. The management of these cases varied in their approach. Williams2 reported six cases in which he was impressed with the initial response of the lesion to irradiation. After only one year, however, there was a 50% mortality in this group. Most authors1-8 were of the opinion that treatment revolved around each particular case. Surgical procedures varied from simple excisional biopsy to wide nasal resection with radical neck dissection. Irradiation was applied primarily in combination, or as a last resort in controlling the disease. Analysis of the treatment used in the literature was approximately as follows: 25%, surgery alone; 25%, irradiation alone; and 50%, both modalities at different stages of the disease.

Etiology or Incidence.—The etiology of this disease is vague. In the group

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