Clinic and treatment results of nasoseptal abcess: A retrospective study of 31 patients from 1/2006 to 12/2015 at the National Ent Hospital in Hanoi, Vietnam

Background:

Nasoseptal abscess are very rare to encounter. In the large ENT centers of the world, the proportion is estimated to be below 10 patients a year. However, the complications of nasoseptal abscess range from treatment-resistant obstruction of nasal respiration, septum perforation, sinus cavernous infections, meningitis to intracranial abscesses. The aim of the study is to illuminate the clinic and treatment results of the nasoseptal abscess.

Method:

In the context of a retrospective study, findings from a total of 31 patients with nasoseptal abscess at the National Ent Hospital in Hanoi, Vietnam, are investigated in the period from 01/2006 to 12/2015.

Results:

The most common symptoms are increased nasal respiratory disability (100%), followed by nasal pain (77.4%), fever (51.6%) and rhinorrhoea (35.5%), rather rarely are headaches (6.5%). In the blood cultures there are mainly Staphylococcus aureus with 11/13 (84.6%). As a therapy, surgical drainage is first choice (100%). In 67.7% of cases, the septum is damaged. Postoperatively, patients had to be treated in 24/31 (77.4%) with two antibiotics i.v. after antibiogram, 22.6% of patients are terated with one I.V. antibiotic. The average hospital stay was 6.1 days.

Conclusion:

nasoseptal abscess must be immediately targeted. After examinations for consequential damage (fibrosis, bone necrosis, saddle nose) are required for functional and cosmetic reasons.

Publication History

Publication Date:
18 April 2018 (online)