Pyogenic granuloma of the nasal septum: A rare cause of epistaxis

Nor Eyzawiah HASSAN ^{1, 2} and Bee See GOH ¹

¹ Department of Otorhinolaryngology Head & Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, and ² Otorhinolaryngology and Head & Neck Surgery Unit, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Malaysia

ABSTRACT

Pyogenic granuloma (PG) is a benign hyperplastic, vascular proliferation either on the skin or mucosal membranes. It commonly occurs following traumatic or hormonal changes, particularly in pregnancy. While the lesions occur frequently in the oral cavity in the head and neck region, occurrence in the nasal septum is rarely reported. We report a case of a 23-year-old male with unilateral pyogenic granuloma of the anterior nasal septum, who presented with epistaxis and nasal blockage. Although intra nasal PG is rare, we advocate that PG be considered in any anterior nasal septum mass with epistaxis.

Keywords: Pyogenic granuloma, lobular capillary haemangioma, epistaxis, nasal obstruction, nasal septum

Correspondence author: Bee See GOH

Department of Otorhinolaryngology- Head & Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakub Latif, 56000 Cheras, Kuala Lumpur, Malaysia. E mail: irenegbs@yahoo.com

Brunei Int Med J. 2012; 8 (6): 367-370