A giant pyogenic granuloma in the nasal cavity caused by nasal packing

Eur Arch Otorhinolaryngol. 2002 May;259(5):231-3. doi: 10.1007/s00405-001-0442-x. Epub 2002 Apr 17.


Pyogenic granuloma is a benign, rapidly growing hemorrhagic lesion of unknown origin. This disorder, however, is obscure to many rhinologists, because the nose is a relatively rare location for the lesion. In the practice of otorhinolaryngology, nasal packing is a very common procedure for nasal bleeding and postoperative hemostasis. However, few pyogenic granulomas occurring from nasal packing have been reported in the literature. A 56-year-old man underwent nasal packing with vaseline gauze because of nasal bleeding. Two months later, a dark brown nasal tumor was found in his nasal cavity. He underwent endoscopic endonasal removal of the tumor. The pathology result showed a pyogenic granuloma. This is the third case recorded in the literature of a confirmed pyogenic granuloma occuring as a complication of nasal packing. This uncommon lesion should be considered in the differential diagnosis of a rapidly growing hemorrhagic lesion within the nasal fossa.

Publication types

  • Case Reports

MeSH terms

  • Bandages / adverse effects*
  • Granuloma, Pyogenic / etiology*
  • Granuloma, Pyogenic / pathology*
  • Granuloma, Pyogenic / surgery
  • Hemostatic Techniques / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Nasal Cavity / pathology*
  • Nasal Cavity / surgery
  • Nose Neoplasms / etiology*
  • Nose Neoplasms / pathology*
  • Nose Neoplasms / surgery