Lee Sang Min, Leem Dae Ho
Department of Oral and Maxillofacial Surgery, School of Dentistry, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.
J Korean Assoc Oral Maxillofac Surg. 2021 Apr 30;47(2):135-140. doi: 10.5125/jkaoms.2021.47.2.135.
Since the first report of a nasal septal abscess (NSA) from a dental origin (1920), six articles have been published in the English literature to date. The most common cause of NSA is an infection of the nasal septal hematoma after trauma. This is a report of an uncommon cause of NSA with a dental origin. A PubMed search performed regardless of year and country using the terms ("nasal septal abscess") OR ("nasal septum abscess") initially yielded 229 articles. After screening, seven articles (eight patients) were selected. Addition of two related articles produced a total of nine articles (10 patients) to be included. The age of the included patients ranged from 7 to 69 years (mean, 32.82 years; standard deviation, ±23.86 years). The sex composition was as followed: males (n=7; 63.6%), females (n=4; 36.4%). Dental histories were various: periapical lesions, caries, extraction, endodontic therapy, and cystic lesions. The maxillary incisor dominated as the tooth of origin. Early diagnosis and treatment of NSAs are important to avoid not only facial deformity, but also severe complications (e.g., intracranial infection). If NSA is suspected in patients without facial trauma, the possibility of a dental origin, especially from the maxillary incisor area, should be considered.
自1920年首次报道牙源性鼻中隔脓肿（NSA）以来，英文文献中至今已发表了6篇相关文章。NSA最常见的病因是外伤后鼻中隔血肿感染。本文报告一例罕见的牙源性NSA病例。使用术语“鼻中隔脓肿”或“鼻中隔脓肿”对PubMed进行不限年份和国家的检索，最初得到229篇文章。经过筛选，选取了7篇文章（8例患者）。另外加入2篇相关文章，共纳入9篇文章（10例患者）。纳入患者的年龄范围为7至69岁（平均32.82岁；标准差±23.86岁）。性别构成如下：男性（n = 7；63.6%），女性（n = 4；36.4%）。牙科病史各不相同：根尖周病变、龋齿、拔牙、牙髓治疗和囊性病变。上颌切牙是主要的病源牙。NSA的早期诊断和治疗很重要，不仅可以避免面部畸形，还能避免严重并发症（如颅内感染）。对于无面部外伤但怀疑患有NSA的患者，应考虑牙源性的可能性，尤其是来自上颌切牙区域的情况。
