Nasal septal abscess in children: From diagnosis to management and prevention

Alshaikh, Nada; Lo, S.H.

doi:10.1016/j.ijporl.2011.03.010

Cited by 65 publications

(77 citation statements)

References 54 publications

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“…4 5 Infection of a septal haematoma can occur as early as three days after the formation of a haematoma, and it can intensify subsequent septal necrosis and resorption owing to bacterial proteolytic enzymes. 5 A nasal septal abscess is a serious medical condition. It requires urgent surgical management because it can result in substantial morbidity and mortality.…”

Section: Education Practicementioning

confidence: 99%

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Nasal septal haematoma

Farmer

Cuddihy

2014

BMJ

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Section: Education Practicementioning

confidence: 99%

“…3 4 Damage to the septal cartilage can occur within 24 hours, and if untreated it can rapidly lead to irreversible septal destruction and substantial nasal deformity requiring extensive reconstruction. [2][3][4][5][6] Why is a nasal septal haematoma missed?…”

Section: What Is a Nasal Septal Haematoma?mentioning

confidence: 99%

Nasal septal haematoma

Farmer

Cuddihy

2014

BMJ

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“…A rich vascular network arising from the overlying mucosal membrane traverses the mucoperichondrium through vascular channels located at the condromaxillary junction. Therefore, disruption or separation of the cartilage from its mucoperichondrium impairs the blood supply and may result in ischemia and necrosis of the cartilage (33).…”

Section: Nasal and Antrochoanal Polyps And Sinonasalmentioning

confidence: 99%

Masses of the Nose, Nasal Cavity, and Nasopharynx in Children

2017

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A wide range of masses develop in the nose, nasal cavity, and nasopharynx in children. These lesions may arise from the nasal ala or other structures of the nose, including the mucosa covering any surface of the nasal cavity, the cartilaginous or osseous portion of the nasal septum, the nasal turbinates, and the nasal bones. Lesions may also arise from the nasopharynx or adjacent structures and involve the nose by way of direct extension. The causes of nasal masses in children include congenital and developmental disorders such as congenital nasolacrimal duct mucocele, dermoid cyst, cephalocele, and nasal neuroglial heterotopia; inflammatory and infectious processes such as mucocele, polyp, and pyogenic granuloma; benign neoplasms such as infantile hemangioma and juvenile nasopharyngeal angiofibroma; malignant lesions such as rhabdomyosarcoma and nasopharyngeal carcinoma; and masses related to prior trauma such as septal hematoma. Although direct visualization, without imaging, is frequently sufficient to diagnose pediatric nasal conditions, in many cases imaging has a key role in the treatment of the affected child. Some of these lesions have characteristic computed tomography and/or magnetic resonance imaging findings, some of them are diagnosed on the basis of the location and imaging findings combined, and others demonstrate nonspecific imaging findings. However, imaging is important for better defining the total extent of the lesion and guiding the clinician in determining whether medical and/or surgical intervention is required. In this article, the authors review the imaging findings of the most common causes-and many of the not-so-common causes-of nasal masses encountered in the pediatric population. RSNA, 2017.

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“…Estimates based on retrospective chart reviews place the incidence of septal hematoma at 0.9% of people treated for nasal trauma, although most reports are based on pediatric populations and may not reflect the incidence in adult nasal trauma. [1][2][3][4] The progression of a hematoma to purulence can start within 3 days and can lead to an abscess in 5 to 7 days. 1 An abscess can cause septal cartilage resorption, septal perforation, saddle nose and intracranial complications.…”

mentioning

confidence: 99%

“…1 A delay of days in diagnosis has been shown to lead to more severe and life-threatening complications such as cavernous sinus thrombosis and meningitis. 2 Any patient presenting with acute nasal obstruction and a history of facial or nasal trauma should raise the index of suspicion for a septal hematoma. Early rhinoscopy with an otoscope can easily determine the presence of septal hematoma, with further confirmation by palpation and simple aspiration.…”

mentioning

confidence: 99%