Ossified Overhang (Osteophyte) In The Nose That Can Cause Atypical Headaches

Bony Spur formation in Nasal Septal Deviation

What Is a Nasal Bone Spur? - Nasal Bone Spurs Surgery İstanbul - Nasal Bone Spur Treatment in Turkey - Symptoms of Nasal Bone Spur - Nose Bone Spur Formation - Contact Point Headaches - Diagnosis of Nasal Bone Spur - Removal of a Septal Bone Spur - Atypical Headache - Osteophyte - Bone Spur of Nose - Nasal Bone Spur - Bony Nasal Septal Spur

In the nasal septum, which divides the nasal cavity into two parts, sometimes, bony ears can be added in the bone structure extending sideways to the curvature curves. In addition to nasal septum deviation, traumatic causes may be caused by unexplained headaches due to turbinates or intranasal sidewalls.

What is bone spur in the nose?

The nasal septum, which divides the nasal cavity into two parts, has a bone structure and sometimes bone bones can be seen from the septum section. The bone spur formation / osteophyte / osteophyte / nose bone spur formation / nasal bone spur formation of the bone spur formation is controversial, but it is considered as ossified lesions arising from the nasal septum due to recurrent minor traumas. They may also appear in other parts of the body. They are usually seen at the back of the nasal septum deviation, which are laterally exposed to the outside with a sharp angle, overlying the septum, and overlying the mucosa.

Symptoms of nose spur formation in the nose

In patients with bone spur formation in the nose, there is usually a complaint of nasal congestion caused by narrowing in the nose airway due to deviation and spurun in front of the spur. In addition, in the presence of bone spur, headaches may be associated with migraine and other atypical headaches as a result of pressure on structures such as the nose in the neighboring area. So, how can the headache be connected to the bone spur? A few quick ways to do this:

- Successful septoplasty during the removal of the sprue, headache reduction or headache after the removal of spur-related head ache proves that the disappearance.

- A reduction in headache or headache after the injection of pain medication or pain-impregnated cotton into the mucosal area on which the bone spur rests proves that there is a spura-related headache.

How to diagnose bone spur in the nose?

bony spur formation in nasal septal deviation

A careful endoscopic examination is sufficient for the diagnosis of bone spur on the nose. Paranasal sinus tomography provides precise information about the location and size of the bone spur in the nose. The above two photographs, in which the bone spurs were clearly visible, were obtained from tomography imaging.

If the headache decreases after lidocaine injection or lidocaine-soaked cotton is placed in the area where the spur touches, it can be concluded that the septal spur is the cause of the headache.

How to treat bone spur on the nose?

Nasal bone spur excision is the only definitive treatment in the presence of bone sprun nasal bone septoplasty surgery. In the office conditions, there are also those who recommend the process of taking the spur with laser (source link >> www.ncbi.nlm.nih.gov/pubmed/20096239). After removal of bone spur during septoplasty surgery, a decrease in headaches or headache is considered to be a finding that proves that this bone spur causes headache.

During the septoplasty operation, this bony protrusion in the lower and back part of the nasal septum can be removed.

Nasal Septal Bone Spur Ossified Overhang Osteophyte
A patient with a history of nasal trauma in childhood, whose image of a bone spur is shared in the photograph above, was diagnosed with nasal septum deviation and "nasal septal spur" was observed during the endoscopic nasal examination performed on the patient. During the examination, it was determined that the nasal septal spur was in contact with the inferior turbinate, and the bone spur was resected during septum deviation correction surgery. While the patient describes a headache before the operation, patient says that there is a decrease in the headache after the operation. Bone spur formation is generally of traumatic origin. If the headache subsides after the spur is excised during the operation, or after lidocaine cotton is placed or lidocaine is injected into the spur and turbinate contact areas; bone spur has been proven to cause headaches.

Nasal Bone Spur Removal

In the video above, the structure consisting of sharp-edged spiny cartilage and bone of the patient who underwent nasal septal spur removal during the septoplasty operation can be seen.

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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