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Haematoma and Abscess of Nasal Septum, Clinical Features and Surgical Treatment Outcomes | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 2, Issue 122, 2016, Pages 17-21 | ||
| Author | ||
| Salim hussain Ibrahim | ||
| Abstract | ||
| To evaluate the clinical features, and surgical treatment of haematoma and abscess of the nasal septum (HANS). Patients& methods: Retrospective study. In the Ear nose and throat department at Tikrit Teaching Hospital.Iraq.Thirty-eight patients with HAND were admitted during eight years, 22 patients(57.8%) with septal abscess and 16 patients(42.2%) with septal haematoma.All treated by urgent drainage under GA,and to prevent recollection, a corrugated drain and packing were used in 17 patients(44.7%)(Group A), and a unilateral incision along septal floor, with septal splint and packing in 21 patients (55.3%)(Group B). Four patients from this group with septal abscess dorsal and columellar strut were done using available septal cartilage and bones(Group C).All receive antibiotics. Follow up of the patients for functional and cosmetic results for minimum six months. Results: The HANS were common in children 27 patients (71.1%) were in age between (3mon.-10 year). History of trauma was in (92.1%). The mean time of diagnosis following trauma in septal haematoma was(1.9day) ,and for septal abscess was(5.7days).Bilateral nasal obstruction was the commonest symptoms in(94.7%),then rhinorrhea (57.267%) , pain and tenderness (55.26%).Toxemia (pyrexia and rapid pulse) found only in patients with septal abscess in (86.4%). The complications were more in septal abscess, especially external nasal deformities was (86.4%) in septal abscess, and (6.25%) in septal haematoma. The use of unilateral septal incision and splint found effective in reducing recollection of blood or pus, thick septum, nasal obstruction, and septal perforation. But little significant on preventing external nasal deformities. Three patients(75%) with immediate septal reconstruction not have saddle nose deformity. No septic intracranial complications occurs. Conclusion: The HAND are uncommon condition, but should be considered in any patient with history of nasal trauma, especially in children, presented with acute nasal obstruction, The toxemia with pain suggestive formation of septal abscess which have a dangerous complications. The immediate septal reconstruction in septal abscess, and unilateral septal incision and septal splint are effective to minimize the functional and cosmetic complications. Key word: Nasal Septal Haematoma; Nasal septal Abscess; Nasal -Injuries; Saddle nose deformity; Nasal septum-Diseases-Complications. | ||
| Keywords | ||
| Haematoma and Abscess of Nasal Septum; Clinical Features and Surgical Treatment Outcomes; Haematoma | ||
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