Sequelae after nasal septum injuries in children

Alvarez, Hernández; Osorio, Johanna; Diego, Juan Albarrán; Prim, M.P.; Torre, Carlos de la; Gavilán, Javiér

doi:10.1016/s0385-8146(00)00071-7

Cited by 37 publications

(30 citation statements)

References 17 publications

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“…If large septal hematomas are identified, otolaryngology consultation for management and drainage is recommended. 42,43 Other forms of injury, such as turbinate avulsion, might also require otolaryngology evaluation to determine the need for nasal packing or cauterization of the mucosa if bleeding persists. Pharyngeal lacerations may heal without significant sequelae, but in these cases, one should watch vigilantly for the development of retropharyngeal hematomas or abscesses that may lead to airway compromise.…”

Section: Injury By Anatomic Sitementioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

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Section: Injury By Anatomic Sitementioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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“…This is most likely because septal hematoma in children with nasal or facial trauma without evidence of fracture is more often missed and goes undiagnosed until complications ensue [16]. Another explanation is that mucoperichondrium and mucoperiosteum are loosely adhered to the septum in children, and this facilitates both occurrence and spread of septal hematoma and abscess formation [17].…”

Section: Incidence and Distributionmentioning

confidence: 99%

“…In fact, 15% of patients who sustain nasal trauma may develop septal hematoma and thus are at risk of secondary infection and purulence [13]. It seems that occurrence of traumatic NSA has been variable along the years and around the world ranging between 0.8 and 1.6% of the cases of nasal trauma attended in the emergency room by otorhinolaryngologists [11,17]. Besides the common causes of nasal trauma like accidents, falls, fights, and nose picking, chronic irritation and injury of the nasal septum by naso-gastric tube has been reported as the leading cause for NSA formation [20].…”

Section: Etiologymentioning

confidence: 99%

“…In children, however, reduction in normal activity may be noticed by parents [13]. Less frequently, patients may present with epistaxis and external nasal swelling [17]. Rarely, if there has been a delay in seeking medical advice and/or a history of immune-suppression, the patient may present with symptoms and signs of serious life threatening complications such as meningitis and cavernous sinus thrombosis [51].…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

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

Alshaikh

2011

International Journal of Pediatric Otorhinolaryngology

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“…The two main treatments published in literature are the surgical drainage [1,[3][4][5]8,9,12] and the drainage and immediate reconstruction of the destroyed septal cartilage [2,6,7,10,11] Cottle has proposed the implantation of nasal septum since 1953 recommending the treatment within 8-12 weeks from the abscess when the infection resolution could assure a successful implantation [14]. Afterwards, Huizing e Masing proposed a septal reconstruction in the acute phase of a septal abscess, at the same time as drainage [2].…”

Section: Discussionmentioning

confidence: 99%

Management of nasal septal abscess in childhood: our experience

Dispenza

Saraniti

Dispenza

et al. 2004

International Journal of Pediatric Otorhinolaryngology

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A nasal septal abscess is usually the result of an infected hematoma of the septum. A secondary septal abscess may be the result of infections extending from any of the neighbouring tissues. The necrosis of septal cartilage may lead to nasal deformities and severe impairment of nasal patency and growth.\ud OBJECTIVES:\ud Assess if the drainage of the abscess and the immediate reconstruction of the destroyed nasal septum in the acute phase is the best treatment to prevent short- and long-term effect on nasal and midface growth.\ud METHODS:\ud Three pediatric patients treated with drainage and immediate implantation of homologous bank cartilage prior to 1990 and four treated with mosaic plastic using small pieces of residual septal cartilage assembled with fibrin glue.\ud RESULT:\ud No complication were observed in the follow-up and any deformities in the long-term controls.\ud CONCLUSIONS:\ud The drainage and immediate reconstruction of the nasal septum are the golden standard in the treatment of the septum infected haematoma

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Sequelae after nasal septum injuries in children

Cited by 37 publications

References 17 publications

Complications of Airway ManagementDiscussion

Complications of Airway ManagementDiscussion

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

Management of nasal septal abscess in childhood: our experience

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