儿童鼻中隔血肿和脓肿

Nasal septal hematoma and abscess in children.

作者信息

Sayin Ibrahim, Yazici Zahide Mine, Bozkurt Eyüp, Kayhan Fatma Tülin

机构信息

ENT Clinic, Bakırköy Dr Sadi Konuk Education and Research Hospital, Istanbul, Turkey.

出版信息

J Craniofac Surg. 2011 Nov;22(6):e17-9. doi: 10.1097/SCS.0b013e31822ec801.

DOI:10.1097/SCS.0b013e31822ec801

PMID:22134309

Abstract

OBJECTIVE

The objective of the study was to evaluate the demographic factors, trauma type, treatment, and long-term results in patients with nasal septal hematoma (NSH) and nasal septal abscess (NSA).

METHODS

Between the years 2006 and 2010, subjects who received a diagnosis of NSA and NSH were included for the study. Demographic data, the surgical findings, and long term follow-up results were recorded.

RESULTS

Twenty-nine subjects were identified. Eleven subjects had a diagnosis of NSA, whereas 19 subjects were identified as having NSH. Eighteen subjects (62.1%) were male, whereas the remaining 11 subjects (38.9%) were female. Mean age of the subjects was 7.79 ± 3.99 years. The etiologies were fall in 26 subjects (89.6%) and blow in 3 subjects (10.4%). Four subjects were previously examined by a physician. In 9 subjects (31.1%), radiologic and clinical evidence of nasal fracture exists. Eighteen (72%) of 29 subjects experienced sequelae. No significant difference exists for clinical properties, demographic data, etiology, and so on, except mean duration; P > 0.05. Mean duration was significantly high in the NSA group than in the NSH group (8.40 ± 8.46 days vs 3.58 ± 3.64 days, P = 0.025).

CONCLUSIONS

This study demonstrated that both NSH and NSA have similar properties for demographic data, etiology, and sequelae.

摘要

目的

本研究的目的是评估鼻中隔血肿（NSH）和鼻中隔脓肿（NSA）患者的人口统计学因素、创伤类型、治疗方法及长期结果。

方法

纳入2006年至2010年间被诊断为NSA和NSH的受试者进行研究。记录人口统计学数据、手术结果及长期随访结果。

结果

共确定29名受试者。11名受试者被诊断为NSA，19名受试者被诊断为NSH。18名受试者（62.1%）为男性，其余11名受试者（38.9%）为女性。受试者的平均年龄为7.79±3.99岁。病因包括26名受试者（89.6%）跌倒和3名受试者（10.4%）受撞击。4名受试者之前曾看过医生。29名受试者中有9名（31.1%）存在鼻骨骨折的影像学和临床证据。29名受试者中有18名（72%）出现后遗症。除平均病程外，临床特征、人口统计学数据、病因等方面无显著差异；P>0.05。NSA组的平均病程显著高于NSH组（8.40±8.46天对3.58±3.64天，P=0.025）。