Nasal Septal Abscess : Clinical Analysis of 6 Cases
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Objectives：To evaluate the clinical characteristics and management of nasal septal abscess (NSA) of various etiologies among all age groups. Materials and Methods：Between 2010 and 2014, six patients diagnosed with NSA were included. Demographic data, clinical characteristics, culture results, Duration of antibiotics treatment, and complications were reviewed. Results：Of the 6 patients (mean age, 45.33±24.60 years; 4 male and 2 female), 4 were adults (66.7%) and 2 (33.3%) were adolescents. The most common symptom was nasal pain (83.3%), followed by nasal obstruction (66.7%). The etiologies were varied (iatrogenic : 3, idiopathic : 2, trauma : 1). The isolated bacterial organisms included Staphylococcus aureus (2 isolates), Pseudomonas aeruginosa (1 isolate), Staphylococcus epidermidis (1 isolate), and α- hemolytic streptococcus (1 isolate). The therapeutic duration was between 3 and 4 weeks. A saddle nose complication was observed in 3 subjects (50%). Conclusion：Early diagnosis and treatment within one week might prevent the saddle nose complications in NSA.
Abstract
Objectives：To evaluate the clinical characteristics and management of nasal septal abscess (NSA) of various etiologies among all age groups. Materials and Methods：Between 2010 and 2014, six patients diagnosed with NSA were included. Demographic data, clinical characteristics, culture results, Duration of antibiotics treatment, and complications were reviewed. Results：Of the 6 patients (mean age, 45.33±24.60 years; 4 male and 2 female), 4 were adults (66.7%) and 2 (33.3%) were adolescents. The most common symptom was nasal pain (83.3%), followed by nasal obstruction (66.7%). The etiologies were varied (iatrogenic : 3, idiopathic : 2, trauma : 1). The isolated bacterial organisms included Staphylococcus aureus (2 isolates), Pseudomonas aeruginosa (1 isolate), Staphylococcus epidermidis (1 isolate), and α- hemolytic streptococcus (1 isolate). The therapeutic duration was between 3 and 4 weeks. A saddle nose complication was observed in 3 subjects (50%). Conclusion：Early diagnosis and treatment within one week might prevent the saddle nose complications in NSA.
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