Matsuba H M, Thawley S E
Department of Otolaryngology, Washington University School of Medicine, St Louis, MO 63110.
Ann Plast Surg. 1986 Feb;16(2):161-6.
Abscesses of the nasal septum are most likely to occur after trauma. Proper management of a nasal septal abscess requires prompt diagnosis, adequate surgical drainage, and parenteral antibiotics to prevent the potentially dangerous spread of infection and the development of severe functional and cosmetic sequelae. Without a history of prior trauma, physicians should be alert to other, less obvious causes for nasal septal abscesses. A rare case of an isolated sphenoid sinus infection leading to a nasal septal abscess illustrates the surgical treatment of these entities.
鼻中隔脓肿最常发生于外伤后。鼻中隔脓肿的恰当处理需要及时诊断、充分的手术引流以及胃肠外给予抗生素，以防止感染的潜在危险扩散以及严重功能和美容后遗症的发生。若无既往外伤史，医生应警惕导致鼻中隔脓肿的其他不太明显的病因。一例罕见的孤立性蝶窦感染导致鼻中隔脓肿的病例说明了这些病症的外科治疗方法。
