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

Bony Septal Spur Formation

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.

The bones in our body can be shaped by traumas after birth, and different growth or structural changes can be seen depending on trauma and pressure. In some tribes in Africa, micro fractures occur in the leg bones due to jumping and then these bones can grow in length. Different changes can occur in the bones after trauma in our face and nose. The growth of extra bones that occur due to trauma or damage to the natural bones of the human body is called bone spurs. Bone spurs that extend laterally from the septum in the nasal cavity due to a blow to the nasal septum and a break in the septum are called nasal septal bone spurs. In addition to mechanical traumas that cause irritation in the nasal septum, infections and sinus disorders can also cause spurs to form in the nose. They usually appear in the septum over time after a serious nasal trauma. In addition to complaints such as nasal congestion and open-mouth breathing, which are typical symptoms of nasal septum deviations, patients with nasal septal spurs that extend to the middle meatus and reveal a contact point may experience headaches as an additional symptom. They can be seen during the examination, when the endoscope is advanced a little further back in the nasal cavity. Nasal septal spurs may not be noticed during a routine examination. Sometimes they are detected by chance during a sinus tomography or anteroposterior skull radiograph.

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 and simle PA xray.

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.

Septoplasty, that is, the operation to treat nasal septum deviation and reduce the resistance of the nasal airway, is actually sufficient for bone spur removal. Surgical excision of the nasal septal spur from the septum is usually a simple procedure for an experienced ENT specialist. After the mucoperichondrium on both sides is elevated, the bone septum area above and below the bone spur is simply cut with bone scissors or a drill, and the treatment can be completed by removing the spur. During nasal septal spur excision, the mucoperichondrium on the spur is elevated, and the mucoperichondrium may tear. If there is a bilateral tear, perforation may occur in the nasal septum. Intraoperatively, shifting a cartilage or bone septum graft to the perforation area prevents nasal septal perforation. There is no need for additional treatment in unilateral mucoperichondrium perforations, and when there is no full-thickness septum perforation, the perforated side on the healthy side will spontaneously epithelialize and close, and the septum hole will not appear. In patients with nasal septal spur formation, no special additional rest period or care recommendations are necessary. The patient care recommendations after the classic septoplasty operation are sufficient.

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

Nasal septal spur excision is an operation performed during septoplasty and under general anesthesia. Although it can be performed under local anesthesia; it will not be very comfortable for patients. Because the septal spur is usually behind the septum, patients may hear the sound of bone cutting or feel pain during excision. Patients can go home the same day after the operation. It is sufficient for the patient to stay in the hospital for about 4 hours after the operation. Septoplasty and nasal septal spur excision surgery have been found to be very successful in eliminating headaches caused by bone spurs.

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.