Nasal Septal Abscess: Clinical Analysis of 6 Cases

Objectives: To evaluate the clinical characteristics and management of nasal septal abscess (NSA) of various etiologies among all age groups. Materials and Methods: Between 2010 and 2014, six patients diagnosed with NSA were included. Demographic data, clinical characteristics, culture results, Duration of antibiotics treatment, and complications were reviewed. Results: Of the 6 patients (mean age, 45.33 ±24.60 years; 4 male and 2 female), 4 were adults (66.7%) and 2 (33.3%) were adolescents. The most common symptom was nasal pain (83.3%), followed by nasal obstruction (66.7%). The etiologies were varied (iatrogenic : 3, idiopathic : 2, trauma : 1). The isolated bacterial organisms included Staphylococcus aureus (2 isolates), Pseudomonas aeruginosa (1 isolate), Staphylococcus epidermidis (1 isolate), and α- hemolytic streptococcus (1 isolate). The therapeutic duration was between 3 and 4 weeks. A saddle nose complication was observed in 3 subjects (50%). Conclusion: Early diagnosis and treatment within one week might prevent the saddle nose complications in NSA. (J Clinical Otolaryngol 2015;26:213–218)