Naga Rahul, Mathews Sunil, Francis Helvin C, Dutta Angshuman, Mitra Barnali, Jauhari Shilpa
Department of ENT-HNS, Command Hospital Airforce, Bangalore, India.
Department of Paediatrics, Command Hospital Airforce, Bangalore, India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4802-4805. doi: 10.1007/s12070-024-04858-7. Epub 2024 Jul 6.
Nasal septal abscess in a newborn is a rare condition. This case report describes a case of nontraumatic, nasal septal abscess in a newborn baby with no evidence of sinusitis or other localized trauma/ infections. A 15-day-old newborn was admitted to a tertiary care hospital with a history of nasal blockage and swelling of the nasal septum. Physical examination revealed a fusiform swelling involving the nasal septum. The patient underwent Diagnostic Nasal Endoscopy with Incision and Drainage followed by 48-hour nasal packing. Neonates being obligate nasal breathers, after drainage, due to the bilateral nasal packs, the otolaryngology and paediatric team had to find a way to make the neonate breathe and swallow simultaneously. The neonate showed gradual improvement following nasal pack removal and had a normal nasal airway on follow-up at 14 days and one-month post-drainage. Even though the septal abscess in neonates is a rare entity however, it can significantly compromise the nasal airway in an obligatory nasal breather, and with limited space for intervention also poses a challenge in managing the condition.
新生儿鼻中隔脓肿是一种罕见的病症。本病例报告描述了一例新生儿非创伤性鼻中隔脓肿，无鼻窦炎或其他局部创伤/感染的证据。一名15天大的新生儿因鼻塞和鼻中隔肿胀病史入住三级护理医院。体格检查发现鼻中隔呈梭形肿胀。患者接受了诊断性鼻内镜检查并切开引流，随后进行了48小时的鼻腔填塞。由于新生儿是 obligate nasal breathers（此处英文有误，推测应为“obligate nasal breathers”，即完全靠鼻腔呼吸者），引流后，由于双侧鼻腔填塞，耳鼻喉科和儿科团队必须找到一种方法让新生儿同时呼吸和吞咽。移除鼻腔填塞物后，新生儿病情逐渐好转，引流后14天和1个月随访时鼻腔气道正常。尽管新生儿鼻中隔脓肿是一种罕见病症，但它会严重影响完全靠鼻腔呼吸者的鼻腔气道，且干预空间有限，这也给该病症的治疗带来了挑战。
