Spontaneous Nasal Septal Abscess Presenting as Complete Nasal Obstruction

Abstract

Nasal septal abscess is an uncommon condition, yet presents as a rhinological emergency. Its symptoms resemble upper respiratory tract infection and the diagnosis may be missed leading to intracranial complication and cosmetic deformity. We present a healthy patient with idiopathic nasal septal abscess who complained of acute complete nasal obstruction, fever and nasal pain. Common aetiologies, causative agents, complications and management of nasal septal abscess are discussed.


Share and Cite:

J. Chung, A. Wong and W. Ho, "Spontaneous Nasal Septal Abscess Presenting as Complete Nasal Obstruction," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 3, 2013, pp. 79-81. doi: 10.4236/ijohns.2013.23019.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] P. S. Ambrus, R. D. Eavey, A. S. Baker, W. R. Wilson and J. H. Kelly, “Management of Nasal Septal Abscess,” Laryngoscope, Vol. 91, No. 4, 1981, pp. 575-582. doi:10.1288/00005537-198104000-00010 doi:10.1288/00005537-198104000-00010
[2] S. B. Shah, A. H. Murr and K. C. Lee, “Nontraumatic Nasal Septal Abscesses in the Immunocompromised: Aetiology, Recognition, Treatment and Sequelae,” American Journal of Rhinology, Vol. 14, No. 1, 2000, pp. 39-43. doi:10.2500/105065800781602975
[3] M. A. B. Jalaludin, “Nasal Septal Abscess—Retrospective Analysis of 14 Cases from University Hospital, Kuala Lumpur,” Singapore Medical Journal, Vol. 34, No. 5, 1993, pp. 435-437.
[4] A. George, W. K. Smith, S. Kumar and A. G. Pfleiderer, “Posterior Nasal Septal Abscess in a Healthy Adult Patient,” Journal of Laryngology & Otology, Vol. 122, No. 12, 2008, pp. 1386-1388. doi:10.1017/S0022215107000886
[5] P. H. Huang, Y. C. Chiang, T. H. Yang, P. Z. Chao and F. P. Lee, “Nasal Septal Abscess,” Otolaryngology—Head & Neck Surgery, Vol. 135, No. 2, 2006, pp. 335-336. doi:10.1016/j.otohns.2005.09.015
[6] J. G. Cho, H. W. Lim, P. Zodpe, H. J. Kang and H. M. Lee, “Nasal Septal Abscess: An Unusual Presentation of Dentigerous Cyst,” European Archives of Otorhinolaryngology, Vol. 263, No. 11, 2006, pp. 1048-1050. doi:10.1007/s00405-006-0105-z
[7] R. Walker, L. Gardner, R. Sindwani, “Fungal Nasal Septal Abscess in the Immunocompromised Patient,” Otolaryngology—Head & Neck Surgery, Vol. 136, No. 3, 2007, pp. 506-507. doi:10.1016/j.otohns.2006.07.022
[8] B. Salam and A. Camilleri, “Non-Traumatic Nasal Septal Abscess in an Immunocompetent Patient,” Rhinology, Vol. 47, No. 4, 2009, pp. 476-477.
[9] C. Dispenza, C. Saraniti, F. Dispenza, C. Caramanna and F. A. Salzano, “Management of Nasal Septal Abscess in Childhood: Our Experience,” International Journal of Pediatric Otorhinolaryngology, Vol. 68, No. 11, 2004, pp. 1417-1421. doi:10.1016/j.ijporl.2004.05.014
[10] D. J. Menger, I. C. Tabink and G. J. Trenite, “Nasal Septal Abscess in Children: Reconstruction with Autologous Cartilage Grafts on Polydioxanone Plate,” Archives of Otolaryngology—Head & Neck Surgery, Vol. 134, No. 8, 2008, pp. 842-847. doi:10.1001/archotol.134.8.842

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.