Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-05-16T22:23:48.744Z Has data issue: false hasContentIssue false

Posterior nasal septal abscess in a healthy adult patient

Published online by Cambridge University Press:  29 October 2007

A George
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
W K Smith
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
S Kumar
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
A G Pfleiderer*
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
*
Address for correspondence: Mr A Pfleiderer, ENT Department, Edith Cavell Hospital, Bretton Gate, Peterborough PE3 9GZ, UK. Fax: 01733 875694 E-mail: agpfleiderer@doctors.org.uk

Abstract

Objective:

We report an extremely rare case of bilateral posterior nasal septal abscess in an otherwise healthy adult patient.

Method:

Case report and a review of the world literature concerning atraumatic nasal septal abscess and its management.

Results:

The development of an atraumatic nasal septal abscess is rare, but it has been reported in association with acute sinusitis, in patients with poor immunity and in children. The presentation, clinical course and treatment are discussed in the presented patient.

Conclusion:

To our knowledge, this is the first report in the world literature of a bilateral posterior septal abscess associated with acute sinusitis in an otherwise healthy adult.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Lin, IH, Huang, IS. Nasal septal abscess complicated with acute sinusitis and facial cellulitis in a child. Auris Nasus Larynx. 2006 (in press)Google ScholarPubMed
2Shah, SB, Murr, AH, Lee, KC. Nontraumatic nasal septal abscesses in the immunocompromised: etiology, recognition, treatment and sequelae. Am J Rhinol 2000;14:3943CrossRefGoogle ScholarPubMed
3Ehrlich, A. Nasal septal abscess, an unusual complication of nasal trauma. Am J Emerg Med 1993;11:149–50CrossRefGoogle ScholarPubMed
4Matsuba, HM, Thawley, SE. Nasal septal abscess: unusual causes, complications, treatment and sequelae. Ann Plast Surg 1986;16:161–6CrossRefGoogle ScholarPubMed
5Bennett, JD, Rapado, F. Nasal septal abscess in a healthy, non-immunocompromised patient. Hosp Med 1998;59:78Google Scholar
6Wallenborn, WM, Fitz-Hugh, GS. Abscess of the posterior nasal septum. Report of a case. Arch Otolaryngol 1963;77:35CrossRefGoogle ScholarPubMed
7Collins, MP. Abscess of the nasal septum complicating acute sphenoiditis. J Laryngol Otol 1985;99:715–19CrossRefGoogle ScholarPubMed
8Ambrus, PS, Eavey, RD, Baker, AS, Wilson, WR, Kelly, JH. Management of nasal septal abscess. Laryngoscope 1981;91:575–82CrossRefGoogle ScholarPubMed
9Pang, KP, Sethi, DS. Nasal septal abscess: an unusual complication of acute spheno-ethmoiditis. J Laryngol Otol 2002:116:543–5CrossRefGoogle ScholarPubMed
10Jalaludin, MA. Nasal septal abscess – retrospective analysis of 14 cases from University Hospital, Kuala Lumpar. Singapore Med J 1993;34:435–7Google Scholar