Nasal Fistula vs. Subluxation Nasal Septum
Left picture: In this nasal fistula an immediate intervention is unnecessary. However, a precise radiological imaging must be performed, e.g. an MRI prior to excision, because the opening may be part of an intranasal epidermoid or dermoid cyst which must be excised completely. Right picture: Here, not an abortive nasal cleft is present, but a subluxation of the nasal septum occurring during birth. A prompt reduction in general anesthesia is indicated.
Two patients with a nasal finding which is striking in one of the patients, and which is barely recognizable in the other. Left picture: In contrast to the contralateral picture, there is a regular shape of the nose. On looking closely a fine opening becomes visible on the bridge of the nose. Right picture: The child just born displays an asymmetry of the two halves of the nose, which is mainly recognizable by the position of the nasal wings and the shape of the nostrils.