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Medical Forum / Diseases and Disorders / Sinusitis / August 2007

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Chronic Reforming Crust On Septum

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mara - 02 Aug 2007 21:59 GMT
For about a year now I have had a crust on my left septum.  My ENT
says the tissue is unhealthy and may have resulted from a long ago
rhinoplasty.  She told me to remove the crust only in a moist
environment (shower) so as not to harm the tissue further.  She gave
me an antibiotic salve which I am not using.  This crust is removed
everyday and reforms immediately.  At the moment I am using soy based
viatmin E to moisten and soften it.  My ENT offers me no hope of any
other  treatment let alone a cure and the area of the crust seems to
be enlarging.  I sometimes remove it while it is small but have left
it alone for awhile to see what will happen.  It becomes larger and
larger and eventually blocks my breathing.  Any help, suggestions or
info on like maladies greatly appreciated.
august - 03 Aug 2007 02:47 GMT
> For about a year now I have had a crust on my left septum.  My ENT
> says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 8 lines]
> larger and eventually blocks my breathing.  Any help, suggestions or
> info on like maladies greatly appreciated.

Unhealthy, while descriptive, does not tell what the problem going on with
the skin might be. I'd see a dermatologist. You might try applying a drug
like Protopic or Elidel (exzema medicines often used as skin cure-alls) to
see if this helps the crusty skin. If you think the area is precancerous,
you might try applying Aldara - which would initially inflame the skin - but
would also kill any malignant skin cells which would then be repalced with
normal skin cells. You really need to see a good dermatologist before trying
anything like what I have mentioned.   AW
august - 03 Aug 2007 03:30 GMT
>> For about a year now I have had a crust on my left septum.  My ENT
>> says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 17 lines]
> with normal skin cells. You really need to see a good dermatologist before
> trying anything like what I have mentioned.   AW

Scratch that idea about applying Aldara if the crust is in or near the
inside of your nose. Aldara absorbed internally can be very unpleasant. It
is for external skin problems only.  Sorry about that.   AW
judy.n - 03 Aug 2007 12:53 GMT
It's on your septum, which is mucosa. I once saw an article about
applying a special sesame oil, from a ?Swedish study, and there were
less crusts. (My ENT has suggested Crisco as an alternative...) The
key is to lubricate, and petroleum based gels are a bad idea, hence
the bactroban ointment. There are also ointments from Simply Saline
which are essentially water based, and have no antibiotic.
 I've read articles on crusting due to septal perforation, and they
suggest lubrication, and gentle irrigation. The crust forms on damaged
tissue.
 Good luck: I'd try the bactroban or the Simply Saline nasal gel.
 Please, don't put topical agents for eczema on MUCOSA--bad idea.
Judy

> >> For about a year now I have had a crust on my left septum.  My ENT
> >> says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 21 lines]
> inside of your nose. Aldara absorbed internally can be very unpleasant. It
> is for external skin problems only.  Sorry about that.   AW
august - 03 Aug 2007 19:58 GMT
> It's on your septum, which is mucosa. I once saw an article about
> applying a special sesame oil, from a ?Swedish study, and there were
[quoted text clipped - 8 lines]
>  Please, don't put topical agents for eczema on MUCOSA--bad idea.
> Judy

SRYK - bad idea for mucosa

Note to self.  Do not post when you are tired and reading comprehension is
nonfunctional.  AW
Steven L. - 03 Aug 2007 16:59 GMT
> For about a year now I have had a crust on my left septum.  My ENT
> says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 5 lines]
> other  treatment let alone a cure and the area of the crust seems to
> be enlarging.

First, you need to rule out rare but possibly very serious rheumatic
diseases like Wegener's granulomatosis, for which nasal crusting is
often the first symptom.  (And thus often remains undiagnosed)  If your
ENT hasn't mentioned this possibility to you, either find another ENT or
consult a rheumatologist.

Second, if it is just a case of crusting from prior nasal trauma,
vitamin A oil might help.  (NOT petroleum-based oils like Vaseline!)
Keep the air you breathe as moist as possible; take a nice steamy bath
every day.

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Steven L.
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

truehawk - 03 Aug 2007 18:25 GMT
> > For about a year now I have had a crust on my left septum.  My ENT
> > says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 21 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.

First, if you put peroxide on it, does the peroxide froth?
Steven L. - 04 Aug 2007 15:12 GMT
>> > For about a year now I have had a crust on my left septum.  My ENT
>> > says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 23 lines]
>
> First, if you put peroxide on it, does the peroxide froth?

She said the crusty area is on her SEPTUM.

How can she view her own septum to see if the peroxide is frothing?  Such a test may need to be done by her ENT and visualized via endoscope.

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Steven L.                  
Email:  sdlitvin@earthlinkNOSPAM.net    
Remove the NOSPAM before replying to me.

truehawk - 04 Aug 2007 20:30 GMT
> >> > For about a year now I have had a crust on my left septum.  My ENT
> >> > says the tissue is unhealthy and may have resulted from a long ago
[quoted text clipped - 32 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.

WTIAWTIAW.
She removes it in the shower, so she has access to it.
Mara can probably use a flashlight and a dental mirror and reflect the
image into a makeup mirror.
Bacteria make catalyse to protect themselves from peroxide which is
what causes the peroxide to foam.
Another test would be to put blue or red food coloring on it, and
attempt to wash it off.
If the color penetrates and is still there the next day, then the
'crust" is likely not "unhealthy tissue"
it is a biofilm.

I would try a paste made of mannose and zagarese licorice. Make a
little truncated cone out of several layer of scotch tape, sticky side
out and wind cotton onto that to hold it against the 'crust' area. Try
until you make one that fits and is comfortable to breath through and
can be tolerated for several hours because the biofilm first line of
defense it to slough off the outer layer, so you have to find a way to
hold the medicine there lone enough to diffuse in. .Also try
saturating same with peroxide. I have had good luck with the mucosa
healing under that procedure overnight.
 
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