Nasal Bone Protrusions: Causes and Concerns

Regarding the protrusion of bone in the nostrils?

Recently, while digging in my left nostril, I noticed a small bony protrusion near the left side of the nasal septum that feels neither painful nor itchy.
What could this be? Is this what is referred to as a nasal concha? I remember a traditional Chinese medicine practitioner mentioning that my nasal conchae are somewhat enlarged and uneven in size, but I do not experience nasal congestion.
I have a history of sinusitis and allergic rhinitis, and I often pick my nose.
Thank you.

Tuor, 30~39 year old female. Ask Date: 2011/08/28

Dr. Hu Kexin reply Otolaryngology

It could be a deviated septum or other issues; please consult an otolaryngologist for a proper diagnosis.

Reply Date: 2011/08/28

More Info

When it comes to nasal bone protrusions, particularly those that you may feel near the nasal septum, there are several factors to consider. Based on your description, it sounds like you may be feeling a bony prominence that could be related to the nasal turbinates, specifically the inferior nasal concha, or it could be a result of anatomical variations in your nasal structure.

The nasal turbinates are structures within the nasal cavity that help to warm and humidify the air we breathe. They are made of bone and covered by mucous membranes. In some individuals, these turbinates can become enlarged or hypertrophied due to chronic conditions such as allergic rhinitis or chronic sinusitis, which you mentioned having experienced in the past. This enlargement can sometimes lead to a feeling of fullness or pressure in the nasal passages, but it may not always cause nasal obstruction or discomfort.

The fact that you do not experience nasal congestion or discomfort is a positive sign. It suggests that the protrusion you are feeling is likely not causing any significant obstruction or irritation. However, if you have previously been diagnosed with conditions like sinusitis or allergic rhinitis, it is essential to monitor any changes in your symptoms. If you start to experience nasal blockage, recurrent sinus infections, or other related symptoms, it would be advisable to consult with an ENT specialist for a thorough evaluation.

In terms of the anatomical variations you mentioned, it is not uncommon for individuals to have asymmetrical nasal structures. This can include differences in the size of the turbinates or the nasal septum. If a healthcare provider previously noted that your turbinates were enlarged, it may be worth discussing this again, especially if you have concerns about the protrusion you are feeling.

Additionally, frequent nose-picking, as you mentioned, can lead to irritation of the nasal mucosa and potentially cause minor injuries or infections. It is generally advisable to avoid this habit to maintain the health of your nasal passages. If you notice any bleeding, persistent discomfort, or changes in your sense of smell, these would be indications to seek medical advice.

In summary, while the bony protrusion you feel may be related to the nasal turbinates or anatomical variations, it is essential to keep an eye on any changes in your symptoms. If you experience any discomfort or other nasal issues, consulting with an ENT specialist would provide you with a clearer understanding and appropriate management options. Regular check-ups can help ensure that any underlying conditions are monitored and treated effectively.

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