Congenital Vomer Defect Incidentally Detected on Preoperative Evaluation for Nasal Septoplasty and Turbinoplasty

Abstract

A perforation in posterioinferior portion of nasal septum is rare and caused by vomeral defect. We report a case of 56-year-old man who had a vomer defect, which was detected incidentally during preoperative evaluation of nasal septoplasty and turbinoplasty. The patient had a surgery of septoplasty and bilateral turbinoplasty under general anesthesia. There was no septal mucosal tear or defect during septoplasty and turbinoplasty. When the patient who has vomeral defect with nasal obstruction is planned for septoplasty and turbinoplasty, the surgery should be performed carefully to protect the mucosa.

Evaluation of Cribriform Plate Dimensions and Middle Turbinate Length in Patients With Vomeral Agenesis: A Computed Tomography Study

“…Septoplasty and/or endoscopic sinus surgery (ESS) can be planned for patients with VA for various indications. 4,5 One of the most severe complications of ESS and/or septoplasty is fracture of the CP, which may lead to dura mater and bone defects resulting in various complications such as cerebrospinal fluid (CSF) fistula, CSF rhinorrhea, ascending meningitis, intracranial hypotension from CSF leak, meningocele, and meningoencephalocele. 6,7 Therefore, possible associations between VA and CP should be investigated.…”