Citation

Culotta PA, Isaac R, Sarpong K, Chandy B, Cruz A, Donaruma-Kwoh M. Int. J. Pediatr. Otorhinolaryngol. 2018; 108: 95-99.

Affiliation

Section of Public Health Pediatrics, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital Houston, TX, USA.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.ijporl.2018.02.024

PMID

29605375

Abstract

While various forms of facial trauma, bruising, burns, and fractures are frequently seen in cases of child abuse, purposeful nasal erosion has rarely been identified as a form of abusive injury. Progressive destruction of nasal tissue in children provokes a wide differential diagnosis crossing multiple subspecialties: infectious, primary immunodeficiencies, inflammatory conditions, malignancy, and genetic disorders. Progressive nasal erosion also can be a manifestation of child abuse. The proposed mechanism is repetitive mechanical denudation of the soft tissue and cartilage resulting in chronic inflammation, bleeding, and ultimately destruction of the insulted tissue. We report 6 cases of child abuse manifesting as overt nasal destruction.

Copyright © 2018 Elsevier B.V. All rights reserved.

Language: en

Keywords

Child abuse; Facial trauma; Nasal destruction; Nasal erosion