Journals / ENT Updates / 2020 / Cilt: 10 - Sayı: 3

Analysis of patients with septal abscess caused by electrocauterization of the nasal septum

Pages
418–423
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Microbiological cultureof the purulent material collected during septal abscessdrainage revealed no bacterial growth in six patients,growth of Staphylococcus aureus in two patients andgrowth of Corynebacterium amycolatum in one patient.Four patients underwent preoperative computed tomography (CT) of the paranasal sinuses and five patientsdeveloped a saddle nose deformity in the long-term follow-up.Conclusion: All surgical interventions to the nose or cauterization procedures should be performed under sterileconditions, especially in patients with chronic diseases,and such patients should be followed up after the procedure.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Although nasal septal abscesses are mostlycaused by trauma, they may occur due to non-traumaticcauses.
📊
Key Findings & Data:In the present study, we aimed to review patientswho underwent electrocauterization of the nasal mucosafor epistaxis and subsequently developed a nasal septalabscess.Methods: The study included 11 patients who underwent nasal electrocauterization for epistaxis and weresubsequently admitted to our clinic with a pre-diagnosisof septal abscess for drainage of the abscess.
💡
Conclusion & Impact:Microbiological cultureof the purulent material collected during septal abscessdrainage revealed no bacterial growth in six patients,growth of Staphylococcus aureus in two patients andgrowth of Corynebacterium amycolatum in one patient.Four patients underwent preoperative computed tomography (CT) of the paranasal sinuses and five patientsdeveloped a saddle nose deformity in the long-term follow-up.Conclusion: All surgical interventions to the nose or cauterization procedures should be performed under sterileconditions, especially in patients with chronic diseases,and such patients should be followed up after the procedure.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: Although nasal septal abscesses are mostlycaused by trauma, they may occur due to non-traumaticcauses. In the present study, we aimed to review patientswho underwent electrocauterization of the nasal mucosafor epistaxis and subsequently developed a nasal septalabscess.Methods: The study included 11 patients who underwent nasal electrocauterization for epistaxis and weresubsequently admitted to our clinic with a pre-diagnosisof septal abscess for drainage of the abscess. The medical records of the patients, including details such as age,sex, duration of follow-up, symptoms, chronic diseases,microbiological cultures, radiological investigations andcomplications were retrospectively evaluated.Results: Of the 11 patients included, seven were male andfour were female with a mean age of 66.18±3.7 years.The mean duration of follow-up was 29.09±17.5 months;five patients had both hypertension and diabetes mellitus, three patients had only diabetes mellitus and threepatients had only hypertension. Microbiological cultureof the purulent material collected during septal abscessdrainage revealed no bacterial growth in six patients,growth of Staphylococcus aureus in two patients andgrowth of Corynebacterium amycolatum in one patient.Four patients underwent preoperative computed tomography (CT) of the paranasal sinuses and five patientsdeveloped a saddle nose deformity in the long-term follow-up.Conclusion: All surgical interventions to the nose or cauterization procedures should be performed under sterileconditions, especially in patients with chronic diseases,and such patients should be followed up after the procedure.

🔖

Cite This Article

AKYİĞİT, A., KELEŞ, E., KARLIDAĞ, T., KAYGUSUZ, İ., YAĞMAHAN, M. S., YALÇIN, Ş. (2020). Analysis of patients with septal abscess caused by electrocauterization of the nasal septum. ENT Updates, Cilt: 10 - Sayı: 3, 418–423. https://ajindex.com/articles/348209

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Ambrus PS, Eavey RD, Baker AS, Wilson WR, Kelly JH. Management of nasal septal abscess. Laryngoscope 1981;91:575-82
  2. Adnane C, Adouly T, Taali L, et al. Unusual spontaneous nasal septal abscess. J Case Rep Stud 2015;3:302
  3. Kryger H, Dommerby H. Haematoma and abscess of the nasal septum. Clin Otolaryngol Allied Sci 1987;12:125-9. 4. da Silva M, Helman J, Eliachar I, Joachims HZ. Nasal septal abscess of dental origin. Arch Otolaryngol 1982;108:380-1
  4. Dispenza C, Saraniti C, Dispenza F, Caramanna C, Salzano FA. Management of nasal septal abscess in childhood: our experience. Int J Pediatr Otorhinolaryngol 2004;68:1417-21
  5. Shah SB, Murr AH, Lee KC. Nontraumatic nasal septal abscesses in the immunocompromised: etiology, recognition, treatment, and sequelae. Am J Rhinol 2000;14:39-43
  6. Walker R, Gardner L, Sindwani R. Fungal nasal septal abscess in the immunocompromised patient. Otolaryngol Head Neck Surg 2007;136:506-7
  7. Nemer AK, Motassim AR. Evaluation of conservative measures in the treatment of epistaxis. Khartoum Medical Journal 2008;1:15-7
  8. Bailie N, Hanna B, Watterson J, Gallagher G. A model of airflow in the nasal cavities: Implications for nasal air conditioning and epistaxis. Am J Rhinol Allergy 2009;23:244-9
  9. Davies K, Batra K, Mehanna R, Keogh I. Pediatric epistaxis: epidemiology, management & impact on quality of life. Int J Pediatr Otorhinolaryngol 2014;78:1294-7
  10. Damrose JF, Maddalozzo J. Pediatric epistaxis. Laryngoscope 2006;116:387-93
  11. Patel N, Maddalozzo J, Billings KR. An update on management of pediatric epistaxis. Int J Pediatr Otorhinolaryngol 2014;78:1400-4
  12. Elden L, Reinders M, Witmer C. Predictors of bleeding disorders in children with epistaxis: value of preoperative tests and clinical screening. Int J Pediatr Otorhinolaryngol 2012;76:767-71
  13. Pang KP, Sethi DS. Nasal septal abscess: an unusual complication of acute spheno-ethmoiditis. J Laryngol Otol 2002;116:543-5
  14. Ginsburg CM, Leach JL. Infected nasal septal hematoma. Pediatr Infect Dis J 1995;14:1012-3
  15. Dinesh R, Avatar S, Haron A, Suhana, Azwarizan. Nasal septal abscess with uncontrolled diabetes mellitus: case reports. Med J Malaysia 2011;66:253- 4
  16. Tien DA, Krakovitz P, Anne S. Nasal septal abscess in association with pediatric acute rhinosinusitis. Int J Pediatr Otorhinolaryngol 2016;91:27-9
  17. Cain J, Roy S. Nasal septal abscess. Ear Nose Throat J 2011;90:144-7
  18. Huang PH, Chiang YC, Yang TH, Chao PZ, Lee FP. Nasal sep