Med Lasers.  2023 Sep;12(3):196-199. 10.25289/ML.23.033.

Saddle nose deformity caused by CO₂ laser vaporization of papillomas from the nasal septum: a case report

• Yoo SH
• Mo JH

• KMID: 2551154
• DOI: http://doi.org/10.25289/ML.23.033

Abstract

A 48-year-old male presented with nasal obstruction due to multiple septal and nasal papillomas. He underwent nasal endoscopic CO₂ laser vaporization for the papillomas. Recurrence was observed three months post-procedure, requiring a second laser treatment. The patient returned four years later with a saddle nose deformity, likely resulting from laser-induced damage to the septum’s structural components. This underscores the need for cautious use of lasers on delicate areas like the nasal septum. The patient underwent an augmentation rhinoplasty using GORE-TEX to correct the deformity, with satisfactory results. While lasers offer a minimally invasive approach to nasal lesions, potential complications like saddle nose deformity can arise. Regular follow-ups and patient education are essential.

Keyword

Laser; Carbon dioxide; Papilloma; Nasal septum