Bones and cartilages of septum of nose. Right side.
branch of superior labial
The fleshy external end of the nasal septum is sometimes also called columella. The nasal septum contains bone and hyaline cartilage.
The nasal septum is composed of five structures:
The postero-superior part of this cartilage is ossified to form the perpendicular plate of the ethmoid; its antero-inferior portion persists as the septal cartilage, while the vomer is ossified in the membrane covering its postero-inferior part.
About the third month these unite below, and thus a deep groove is formed in which the cartilage is lodged.
As growth proceeds, the union of the lamellae extends upward and forward, and at the same time the intervening plate of cartilage undergoes absorption.
By the onset of puberty the lamellae are almost completely united to form a median plate, but evidence of the bilaminar origin of the bone is seen in the everted alae of its upper border and the groove on its anterior margin.
The nasal septum can depart from the centre line of the nose in a condition that is known as a deviated septum caused by trauma. However, it is normal to have a slight deviation to one side. The septum generally stays in the midline until about the age of seven, at which point it will frequently deviate to the right.
A perforated nasal septum can be caused by an ulcer, trauma due to an inserted object, long-term exposure to welding fumes, or cocaine use. There is a procedure that can be of help to those suffering from perforated septum. A silicone button can be inserted in the hole to close the open sore. An operation to the nasal septum is known as a septoplasty.
The nasal septum can be affected by both benign (fibroma, inflammatory hemangioma of the nasal septum—"bleeding polyp", etc.) and malignant tumors (squamous cell carcinoma, esthesioneuroblastoma, etc.).
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