Nasal Septal Abscess: Clinical Analysis of 6 Cases

An Unusual Case of a Pediatric Nasal Septal Abscess with Life-Threatening Complications in COVID-19 Pandemic

“…The most common cause of NSA is aerobic bacteria to be specific; Staphylococcus aureus accounts for the majority of cases in adults and Haemophilus influenza in the pediatric population [4]. In the literature, the complications of NSA are categorized into: local, systemic, orbital, and cranial [3]. In the present case, local complications of sinusitis, vestibulitis, facial cellulitis, orbital complication of pre-septal cellulitis, and cranial complications of meningitis were observed.…”

“…Bilateral nasal packing is required postoperatively for a minimum 48 h with the controversial role of Penrose drain. As few studies like Canty and Berkowitz [10] and Kwak et al [3] reported no benefit of Penrose drain concerning to re-accumulation of fluid. But in our case, only the anterior nasal septum was involved on one side without septal cartilage destruction and simple aspiration gave good results without recurrence.…”

“…NSA occurs mostly in children with male predominance. The reason for this predominance could be explained that the mucoperichondrium and mucoperiosteum loosely adhere to the septum in children, and males are more involved in violent activities [3].…”

“…Mostly NSA patients present with nasal obstruction with associated symptoms of pain, fever, malaise, headache, purulent nasal discharge, and delayed presentations can be cosmetic deformity of the nose such as saddle nose or any intracranial complication. According to the Korean case series, nasal obstruction is one of the initial, and nasal pain is the most common symptom reported in NSA [3]. The characteristic appearance of NSA on anterior rhinoscopy and diagnostic nasal endoscopy is septal swelling (bilateral [ unilateral).…”