Ozcan K Murat, Ozcan I, Bilal N, Dere H
Ankara Numune Education and Research Hospital 4th ENT Clinic, Ankara, Turkey.
B-ENT. 2009;5(4):277-81.
PROBLEMS/OBJECTIVES: Nasal septal abscesses are usually formed following nasal trauma or haematoma. A nasal septal abscess is defined as a collection of purulent material (pus) between the cartilage or bony septum and the mucoperichondrium or mucoperiosteum. Sinusitis and periorbital cellulites have been reported among the etiological factors and the complications.
A case of posttraumatic nasal septal abscess is reported in a 35-year-old male patient.
Frontal, ethmoid, and sphenoid sinusitis, as well as periorbital cellulites were seen to accompany the septal abscess. The abscess was surgically drained and intravenous antibiotherapy was instituted.
Nasal trauma patients should be carefully assessed for posttraumatic haematoma and abscess formation, so that possible complications can be avoided by taking appropriate therapeutic measures.
问题/目的:鼻中隔脓肿通常在鼻外伤或血肿后形成。鼻中隔脓肿被定义为软骨或骨性鼻中隔与鼻黏软骨膜或鼻黏骨膜之间的脓性物质(脓液)积聚。鼻窦炎和眶周蜂窝织炎已被报道为病因及并发症。
报告一名35岁男性患者的创伤后鼻中隔脓肿病例。
发现鼻中隔脓肿伴有额窦、筛窦和蝶窦炎以及眶周蜂窝织炎。脓肿通过手术引流,并采用静脉抗生素治疗。
应对鼻外伤患者仔细评估创伤后血肿和脓肿形成情况,以便通过采取适当的治疗措施避免可能的并发症。