Nasal septal perforation

• Trauma (i.e. nose picking, nasogastric tube placement)
• Inflammatory/infectious (i.e. sarcoidosis, Wegener granulomatosis)
• Neoplastic causes
• Inhaled substances (i.e. cocaine)
• Medicines (i.e. fluticasone spray, Ciclesonide)

Mnemonic for causes of nasal septal defects

• Say – Saracoid
• Water – Wegener granulomatosis
• Coke – Cocaine
• Syrup – Syphilis
• Sugarwater – Surgery
• Lemonade – Leprosy

or

• Nothing – Non-Hodgkin T-cell lymphoma

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