ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

BOIL OR FURUNCLE IN EXTERNAL NOSE

Updated on September 13, 2011
Source

WHAT IS BOIL OR FURUNCLE IN EXTERNAL NOSE ?

BOIL is defined as an acute suppurative inflammation of a hair follicle.Boil is only seen on hairy skin so it is found only in the vestibule of the nose.

The vestibule of the nose has a lateral and medial walls lined by thick skin which contain hairs.The inflammation may occur either in the lateral or medial wall or at the junction of the two or at the floor.

WHAT IS THE CAUSATIVE ORGANISM ?

Boil is caused by the Staphyllococcus albus and aureus.

IS IT A DANGEROUS CONDITION ?

Yes, BOIL is a dangerous condition because of the following reasons :-

1) It can cause severe or ugly nasal deformities when healing takes place.The tip of the nose or lateral wall of the nose is badly deformed.

2) External nose has a peculiar venous drainage. It drain into a vein which is running by the side of the lateral walls of external nose.

WHAT IS THE IMPORTANCE OF THIS PARTICULAR DRAINAGE?

1) Through the ophthalmic veins, is communicated with a blood sinus situated on the body of sphenoid called Cavernous sinus.

2) Angular veins also communicates with the pterigoid plexus which in turn communicates with the cavernous sinus.

Infection from Boil can spread to the cavernous sinus by retrograde thrombophlebitis.Through cavernous sinus ophthalmic and retinal veins are involved and blindness occurs on the same side. Through inter cavernous sinus the eye of the opposite side may become blind also.

Through the cavernous sinus duramater is also involved leading to meningitis. It is more dangerous if the patient's resistance is low or he is diabetic. The complication can endanger life.

3) Angular vein is devoid of valves so the blood can flow in any direction. The Boil which is harmless to start with can cause Anterior Facial Vein Thrombosis.

WHAT ARE THE CAUSES OF BOIL IN THE NOSE ?

1) Trauma to the root of hair i.e.plucking of the hairs.

2) Low resistance of the patient.

3) Diabetes.

WHAT ARE THE SEQUENCE OF EVENTS ?

1) When the hair is pulled and infection enters the root, a localized red swelling appears which can be anywhere in the vestibule.

2) As a result of this , there is lymphatic obstruction due to which swelling also appears outside on the tip, lip or side.

3) Suppuration starts in localised swelling.

4) Finally pus drains out and whole inflammatory process subsides.

WHAT ARE THE COMPLICATIONS OF BOIL IN THE NOSE ?

In some unfortunate cases ( very weak thin,low resistant and Diabetic patients ) the inflammatory process spreads and some complications occurs. Inflammatory process may extend to :-

1) The septum leading to septal abscess.

2) The cartilage leading to perichondritis.

3) Retrograde Thrombophlebitis.

4) Cavernous sinus thrombosis.

5) Pyaemia.

WHAT ARE THE SIGNS AND SYMPTOMS ?

a) Pain at the vestibule.

b) Tenderness.

c) Swelling of tip and vestibule.

d) Constitutional symptoms ( temperature and patient is toxaemic ).

In complicated cases swelling as well as constitutional symptoms are much more marked. They may be :-

1) Enlarged regional lymph glands.

2) Cord like thickening of thrombosed angular veins.

3) In cavernous sinus thrombosis there is high temperature with rigour.

4) Oedema of the lids.

5) Redness of the eye.

6) Conjunctival ecchymosis.

7) Blurred vision.

8) Eyeball starts coming out. (proptosis ).

9) Complete loss of vision ( due to oedema of retinal veins ).

10) Eye ball can not move ( due to involvement of 3rd,4th and 6th cranial nerves.

11) Papilloedema.

12) Complete opthalomoplagia.

All these Symptoms are due to venous obstruction, collection of exudate inside and around the eye ball. The patient is highly toxic and is comatose. The cavernous sinus thrombosis is unilateral to start with but soon becomes bilateral because of inter sinus communications.

WHAT IS THE TREATMENT ?

1) Control the infection as soon as possible.

2) Give adequate doses of appropriate antibiotic. Start with Penicillin if fails then tetracycline.

3) Hot foamentation.

4) Relief of pain.

5) Leave the nose undisturbed, the infection will subside.

6) If complications are setting in they should be quickly treated and for this take the help of

Ophthalmologist and Neurologist.

7) Surgery should not be advised at any cost and should be avoided. In cases of Abscess formed it should be drained in early cases because the inflammation has not localised, incision will open other tissue pains and infection will spread. Un- ripe Boils should not be touched.

8) If there is history of repeated boil Diabetes should be excluded and general health should be improved.


Comments

    0 of 8192 characters used
    Post Comment

    • Drwahid Pirzada profile image

      dr wahid pirzada 

      3 years ago from Ahmedabad, India

      Good informative article.Homoeopathy has lot to offer in this condition.

    • profile image

      faisal ahmed 

      4 years ago

      Nice and educative article... I learned a lot which will help me to protect myself from such repetition.... thanks a lot.. keep writing....

    • drdspervez profile imageAUTHOR

      drdspervez 

      7 years ago from Pakistan

      Thanks Aamna Aamad for appreciating my article and voting me up. :)

      DR. DURRESHAHWAR PERVEZ

    • Aamna Aamad profile image

      Aamna Aamad 

      7 years ago from Pakistan

      ufff, we generally take these boils so inseriously, my hubby usually get a red nose tips coz he plucks long hair inside his nose...but i will let him know wht serious damages it can cause...thanks for the information voted up.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)