Submucosal diathermy (SMD) of the inferior turbinates is widely used, although its effect histologically has not been well shown. We attempted to demonstrate the acute histological changes of SMD by performing it immediately prior to inferior turbinectomy. The results found help to explain the unpredictability of producing a clinical response.

Summary:Nodular fasciitis is a well established clinical entity of unknown pathogenesis. A traumatic aetiology is postulated yet specific examples are not documented. We present a case directly attributable to an epidural injection.

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