Dispenza C, Saraniti C, Dispenza F, Caramanna C, Salzano F A
Clinica Otorinolaringoiatrica, Università di Palermo, Azienda Ospedaliera Policlinico P. Giaccone, Via P. E. Giudici n. 37, Palermo 90127, Italy.
Int J Pediatr Otorhinolaryngol. 2004 Nov;68(11):1417-21. doi: 10.1016/j.ijporl.2004.05.014.
A nasal septal abscess is usually the result of an infected hematoma of the septum. A secondary septal abscess may be the result of infections extending from any of the neighbouring tissues. The necrosis of septal cartilage may lead to nasal deformities and severe impairment of nasal patency and growth.
Assess if the drainage of the abscess and the immediate reconstruction of the destroyed nasal septum in the acute phase is the best treatment to prevent short- and long-term effect on nasal and midface growth.
Three pediatric patients treated with drainage and immediate implantation of homologous bank cartilage prior to 1990 and four treated with mosaic plastic using small pieces of residual septal cartilage assembled with fibrin glue.
No complication were observed in the follow-up and any deformities in the long-term controls.
The drainage and immediate reconstruction of the nasal septum are the golden standard in the treatment of the septum infected haematoma.
鼻中隔脓肿通常是鼻中隔感染性血肿的结果。继发性鼻中隔脓肿可能是邻近任何组织感染蔓延所致。鼻中隔软骨坏死可导致鼻畸形以及鼻腔通畅和生长严重受损。
评估脓肿引流及急性期立即重建受损鼻中隔是否是预防对鼻腔和中面部生长的短期和长期影响的最佳治疗方法。
1990年前，3例儿科患者接受了引流并立即植入同种异体库软骨治疗，4例患者使用小块残余鼻中隔软骨与纤维蛋白胶组装的镶嵌塑料进行治疗。
随访期间未观察到并发症，长期对照中也未出现任何畸形。
鼻中隔引流及立即重建是治疗鼻中隔感染性血肿的金标准。
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