Department of Otolaryngology Head and Neck Surgery, Bakirköy Teaching and Research Hospital, Istanbul, Turkey.
J Craniofac Surg. 2021;32(2):e125-e128. doi: 10.1097/SCS.0000000000006854.
To evaluate the demographic factors, trauma type, treatment, and long-term results in patients with nasal septal hematoma (NSH) and nasal septal abscess (NSA) in pediatric age group.
Between the years 2006 and 2019, patients 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.
A total of 68 patients were identified. Forty-five patients were diagnosed as NSA and 23 patients were diagnosed with NSA. Mean age of the patients was 7.00 ± 3.33 years. Patients did not differ in terms of age, gender, and etiology. Mean duration of the symptoms was significantly high in NSA group (4.11 ± 4.00 days for NSH and 7.61 ± 7.71 days for NSA, P = 0.011). Associated nasal fracture was significantly high in NSH group. Previous nasal examination was significantly high in NSA group. Epistaxis was present significantly high in NSH group (P = 0.013). Fever and purulent nasal discharge was observed significantly high in NSA group. Forty-seven (n = 47) patients can be reevaluated for long-term deformity (NSH, n = 34 [72.34%] and NSA, n = 13 [27.65%]). Mean follow-up period of the patients was 8.7 years. In total, 61.7% of the patients experienced minor or major sequelae. Both NSA and NSH groups did not differ in terms of minor sequelae and major sequelae. No sequleae was significantly high in NSH group (for NSH n = 17/34-(50,0%); for NSA n = 1/13- (7,7%), p = 0.008). Both NSA and NSH groups did not differ in terms of no sequelae and minor sequelae.
The NSH and NSA are uncommon conditions that needed prompt diagnosis and intervention.
评估儿童期鼻中隔血肿（NSH）和鼻中隔脓肿（NSA）患者的人口统计学因素、创伤类型、治疗方法和长期结果。
在 2006 年至 2019 年期间，纳入了被诊断为 NSA 和 NSH 的患者进行研究。记录了人口统计学数据、手术发现和长期随访结果。
共确定了 68 例患者。45 例患者被诊断为 NSA，23 例患者被诊断为 NSA。患者的平均年龄为 7.00±3.33 岁。患者在年龄、性别和病因方面没有差异。NSA 组的症状持续时间明显较长（NSH 为 4.11±4.00 天，NSA 为 7.61±7.71 天，P=0.011）。NSH 组中，伴发鼻骨骨折的比例明显较高。NSA 组中，既往有鼻部检查的比例明显较高。NSH 组中鼻出血的发生率明显较高（P=0.013）。NSA 组中发热和脓性鼻涕的发生率明显较高。47 例（n=47）患者可进行长期畸形评估（NSH，n=34[72.34%]和 NSA，n=13[27.65%]）。患者的平均随访时间为 8.7 年。总的来说，61.7%的患者出现了轻微或严重的后遗症。NSA 和 NSH 两组在轻微后遗症和严重后遗症方面没有差异。NSH 组无后遗症的比例明显较高（NSH 组为 17/34-（50.0%）；NSA 组为 1/13-（7.7%），P=0.008）。NSA 和 NSH 两组在无后遗症和轻微后遗症方面没有差异。
NSH 和 NSA 是罕见的疾病，需要及时诊断和干预。
