Common ENT Questions: Nasal Issues and Concerns - Otolaryngology

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Inquiry Consultation


Dear Dr.
Cheng,
I would like to ask you the following questions:
Q1.
Recently, I developed a pimple on the left side of my nose and applied slight pressure to it with my hand.
During the process, I wondered if this action could potentially harm my nasal septum.
Dr.
Cheng, could you please advise if applying slight pressure to a pimple on the nasal wing could cause any deviation of the nasal septum?
Q2.
I came across a medical statement that mentioned, "Almost everyone has some degree of nasal septum deviation." Dr.
Cheng, is this statement accurate?
Q3.
Following up on the previous question, Dr.
Cheng, does a nasal septum deviation that is asymptomatic or only mildly symptomatic necessarily require treatment or surgical correction? If left untreated, will the deviation worsen over time?
Q4.
I observed a slightly raised area in the anterior part of my left nasal cavity, which I just noticed today (September 14) and am unsure how long it has been there.
When I pressed it with a cotton swab, it felt somewhat hard and bled.
Dr.
Cheng, in your opinion, could this raised area in the anterior part of my left nasal cavity be due to nasal mucosa swelling, nasal septum deviation, or something else?
Thank you, Dr.
Cheng.

Axiang, 40~49 year old female. Ask Date: 2022/09/14

Dr. Zheng Jueyi reply Otolaryngology


Hello A1.
Generally, this does not cause a deviation of the nasal septum.
A2.
Yes, everyone has varying degrees of nasal septal deviation to some extent.
A3.
Asymptomatic or mildly symptomatic nasal septal deviation does not require treatment or surgical correction.
A4.
It is difficult to determine; if there is recurrent bleeding, it is recommended to see an otolaryngologist for evaluation and assessment.

Reply Date: 2022/09/14

More Info


Hello, thank you for your questions regarding nasal issues and concerns. Let's address each of your queries systematically.

Q1: Squeezing a Pimple on the Nose and Its Effects on the Nasal Septum
When you apply pressure to a pimple on the side of your nose, it is unlikely to cause any significant damage to the nasal septum, which is the cartilage and bone structure that divides the nasal cavity into two nostrils. However, excessive force or repeated trauma can lead to localized swelling, bruising, or even infection, which could indirectly affect the surrounding structures. It's essential to avoid squeezing pimples, as this can lead to scarring or the spread of bacteria, potentially causing more severe skin issues.

Q2: Prevalence of Nasal Septum Deviation
The statement that "almost everyone has some degree of nasal septum deviation" is generally accurate. Studies suggest that a significant portion of the population has some form of deviation, which can be asymptomatic. The nasal septum can deviate due to various factors, including genetics, trauma, or developmental issues. However, the degree of deviation varies, and many individuals may not experience any symptoms related to it.

Q3: Treatment Necessity for Asymptomatic Nasal Septum Deviation
Not all cases of nasal septum deviation require treatment. If an individual is asymptomatic or experiences only mild symptoms, surgical intervention is typically not necessary. However, if the deviation leads to significant breathing difficulties, chronic sinusitis, or other complications, then treatment options, including surgery, may be considered. It is essential to monitor the condition, as some deviations can worsen over time, particularly if they contribute to chronic nasal obstruction or other issues.

Q4: Observing a Hard Bump in the Nasal Cavity
The presence of a hard, slightly raised area in your nasal cavity that causes bleeding upon pressure could indicate several conditions. It might be a polyp, a benign growth, or even a localized infection. Nasal polyps are soft, painless growths that can develop in response to chronic inflammation, often associated with allergies or sinusitis. However, if the area is hard and causes bleeding, it is crucial to have it evaluated by an ENT specialist. They may perform a nasal endoscopy or imaging studies to determine the exact nature of the growth and recommend appropriate treatment.

In summary, while nasal issues such as septum deviation are common and often benign, any new or concerning symptoms, especially those involving bleeding or pain, should be evaluated by a healthcare professional. Regular check-ups with an ENT specialist can help monitor your nasal health and address any emerging concerns. If you have further questions or need clarification, please don't hesitate to reach out. Your nasal health is important, and addressing these concerns early can lead to better outcomes.

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