Department of Otolaryngology Head and Neck Surgery, Pham Ngoc Thach University of Medicine, 2 Duong Quang Trung street, ward 12, district 10, Ho Chi Minh city, Viet Nam.
Ear Nose Throat Hospital of Ho Chi Minh City, 155 Tran Quoc Thao street, ward 9, district 3, Ho Chi Minh city, Viet Nam.
Am J Otolaryngol. 2023 Jul-Aug;44(4):103888. doi: 10.1016/j.amjoto.2023.103888. Epub 2023 Apr 4.
The purpose of this study was to present and analyze the etiologic factors, clinical manifestations, bacteriology, and treatment outcomes of nasal septal abscess in a large cohort of adult patients.
Retrospective analysis.
36 adult patients, age from 19 to 85 (mean age, 51.83), with nasal septal abscesses were treated at Ear Nose Throat Hospital of Ho Chi Minh City from January 2020 to August 2022. The most common symptoms were nasal obstruction (75 %), headache/facial pain (58.33 %). Etiologic factors were found in 83.33 % of cases with the most common were diabetes mellitus (47.22 %), nose-picking (44.44 %). 75 % of cases had positive bacterial culture, of which 70.37 % were Staphylococcus aureus. Septal abscess was successfully treated in all cases using our treatment protocol, which involved an extended modified Killian's incision, irrigation with 1 % poviodine, placement of gauze in the abscess pocket, and nasal packing with Merocels.
Diabetes and nose-picking were the most common etiologic factors; Staphylococcus aureus was the most common organism of nasal septal abscess in our study. Our treatment protocol is safe and effective.
本研究旨在介绍和分析一大群成年患者鼻中隔脓肿的病因、临床表现、细菌学和治疗结果。
回顾性分析。
2020 年 1 月至 2022 年 8 月，胡志明市耳鼻咽喉医院治疗了 36 例年龄 19 至 85 岁（平均年龄 51.83 岁）的成人鼻中隔脓肿患者。最常见的症状是鼻塞（75%）和头痛/面部疼痛（58.33%）。在 83.33%的病例中发现了病因，最常见的是糖尿病（47.22%）和挖鼻（44.44%）。75%的病例有细菌培养阳性，其中 70.37%为金黄色葡萄球菌。所有病例均采用我们的治疗方案成功治疗了鼻中隔脓肿，该方案包括延长改良的 Killian 切口、1%聚维酮冲洗、脓肿袋内放置纱布和 Merocel 鼻填塞。
糖尿病和挖鼻是最常见的病因；在我们的研究中，金黄色葡萄球菌是鼻中隔脓肿最常见的病原体。我们的治疗方案安全有效。
