“…The aetiology of nasal septal perforations includes nasal septal surgery, epistaxis, cryotherapy, nose picking, nasotracheal intubation, nasal fractures, penetrate injuries, septal haematoma, nasal tampons, chemical irritants, nasal sprays including vasoconstrictor agents and steroids, cocaine, neoplastic diseases and midline granulomatous diseases, vasculitis, Wegener's granulomatosis, sarcoidosis, syphilis, tuberculosis, typhus, diphtheria, leprosy, rhinosclerosis, fungal diseases (Ulnick and Perkins, 2001;Merkonidis et al, 2005;Wanyura et al, 2006;Andre et al, 2006;Dosen and Haye, 2007;Eloy et al, 2007;Butt et al, 2010). Nasal findings in CD may be chronic mucosal inflammation, nasal obstruction, epistaxis, and rarely septal perforation (Kriskovich et al, 2000;Kryssia and Henry, 2006;Sari et al, 2007).…”