Nasal Lump due to Gout
Title: Tophaceous gout presenting as a dorsal
Authors: Hughes JP, et al.
Publication: J Laryngol Otol. 2005 Jun;119(6):492-4.
Gout can often mimic infection or tumors, affecting the head
and neck region, and has been described in medical literature
as causing emergency tracheotomy (surgical incision of the trachea
through the neck to make an artificial opening for breathing).
In this article, the authors presented the first case of gouty
deposit affecting the soft tissues of the nose. The patient came
with a bony, hard hump in the nose and requested a plastic surgery.
The authors then described the first instance of treatment using
the following technique: they used an endoscope (a flexible tube
that allows doctors to visualize the interior of an organ), with
a microdebrider system attached. This instrument allowed the authors
to excise the tophi or gouty deposits with much less complications
that the conventional scraping and excision techniques.