A giant pyogenic granuloma in the nasal cavity caused by nasal packing


Pyogenic granuloma is a benign, rapidly growing hemorrhagic lesion of unknown origin. This disorder, however, is obscure to many rhinologists, because the nose is a relatively rare location for the lesion. In the practice of otorhinolaryngology, nasal packing is a very common procedure for nasal bleeding and postoperative hemostasis. However, few pyogenic granulomas occurring from nasal packing have been reported in the literature. A 56-year-old man underwent nasal packing with vaseline gauze because of nasal bleeding. Two months later, a dark brown nasal tumor was found in his nasal cavity. He underwent endoscopic endonasal removal of the tumor. The pathology result showed a pyogenic granuloma. This is the third case recorded in the literature of a confirmed pyogenic granuloma occuring as a complication of nasal packing. This uncommon lesion should be considered in the differential diagnosis of a rapidly growing hemorrhagic lesion within the nasal fossa.

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Lee, HM., Lee, S. & Hwang, S. A giant pyogenic granuloma in the nasal cavity caused by nasal packing. European Archives of Oto-Rhino-Laryngology 259, 231–233 (2002). https://doi.org/10.1007/s00405-001-0442-x

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  • Pyogenic granuloma Nasal packing Endoscopic surgery