An inconstant bursa at the anterior nasal septum between the septal cartilage and the overlying mucoperichondrium, occasionally found at the junction of the septal cartilage and the maxillary crest. It was first described by Tornwaldt (not to be confused with the nasopharyngeal bursa bearing his name) and may contribute to anterior septal pathology.
The nasal septal bursa is a rarely recognised clinical entity but contributes to understanding of septal hematoma formation and the anatomy of septal reconstructive procedures. In septoplasty, the mucoperiochondrial plane developed during surgery corresponds to this potential bursal space. Septal hematoma occupying this space requires urgent drainage to prevent cartilage avascular necrosis.
Blood collection in the subperichondrial septal space following nasal trauma or septal surgery, producing bilateral nasal obstruction and a fluctuant septal mass requiring urgent incision and drainage to prevent saddle nose deformity.
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