Erschienen in:
05.01.2021 | COVID-19 | Case Reports
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Delayed Septal Perforation as a Complication of COVID-19: A Case Report
verfasst von:
Corinne Wee, Joseph Younis, Thomas Xia, Bahman Guyuron
Erschienen in:
Aesthetic Plastic Surgery
|
Ausgabe 3/2021
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Abstract
Background
There are increasing reports of the effects of SARS-CoV-2 on olfactory function, with a significant number of patients reporting anosmia as a symptom. However, our knowledge and understanding of the virus’s complete impact on the nose remains poor. This report describes a unique patient case to demonstrate how COVID-19 may be associated with rhinoplasty complications such as septal perforation.
Case Report
This is a case report of a previously healthy patient who underwent septorhinoplasty in 2018. She had frequent follow-up including intranasal examinations without evidence of the septal perforation for the 2 years following her operation. In March 2020, the patient was noted to have symptoms suggestive of COVID-19, but testing was not recommended by the pediatrician. Soon after her symptoms resolved, she experienced a sudden onset of whistling and physical examination revealed a perforation in the septum which rapidly enlarged over the ensuing weeks. She tested positive for the COVID-19 antibody. After confirming that she no longer had an active infection via antigen testing, she underwent repair of her septal perforation without complications.
Conclusion
This case report illustrates a septorhinoplasty complication that may be associated with COVID-19. Further study into this virus’s impact on vascularity and wound healing, specifically in the nose, is recommended.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266.