Management of nasal septal abscess in Nigeria.

Abstract

Background: Nasal septal abscess although unusual may result to serious consequences if not quickly diagnosed and properly managed. The objective of this study was to review the experience with surgical management of nasal septal abscess and analyze factors contributing to good surgical outcome. Method. A retrospective study of 5 consecutive cases of nasal septal haematoma and abscess seen over a 6 year period at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria, was carried out. The details of the incision and drainage of the nasal septal abscesses including the duration of insertion of drain and outcome of surgery were evaluated. Results. There were 2 males and 3 females in the study. The results show that insertion of drain and retention for certain period was a very important factor in complete resolution of abscesses. Recurrence was seen in only the case that did not have a drain inserted. Conclusion. It is therefore concluded that early diagnosis, incision and drainage of nasal septal abscess and insertion and maintenance of adequate drainage are needed for good surgical outcome.

Keywords: Management, Septal haematoma, Abscess, Saddle-nose deformity.