Abstract
Introduction: Nasal septal abscess (NSA) in the pediatric population is an uncommon condition, but it can cause devastating complications (such as potentially life-threatening intracranial infections and cosmetic nasal deformity). The objective of this study is to report a case of an pediatric patient presenting with NSA in association with frontal-ethmoid acute sinusitis and intracranial abscess. Method and Results: In this study, we report a case of an 8-year-old patient who progressed from spontaneous nasal septal abscess to sinusitis (maxillary, frontal and ethmoidal), cosmetic nasal deformity (destruction of septal cartilage) and intracranial complication. The purulent collection necessitated urgent surgical drainage and adequate medical treatment. Conclusion: Nasal septal abscess in children is a rare condition that necessitates early appropriate drainage in order to prevent severe life-threatening complications. Furthermore, in the growing child, in case of total destruction of the cartilaginous septum, immediate reconstruction with autologous cartilage graft is essential for normal development of the nose and maxilla.
Highlights
Nasal septal abscess (NSA) in the pediatric population is an uncommon condition, but it can cause devastating complications
The objective of this study is to report a case of an pediatric patient presenting with NSA in association with frontal-ethmoid acute sinusitis and intracranial abscess
In this study, we report a case of an 8-year-old patient who progressed from spontaneous nasal septal abscess to sinusitis, cosmetic nasal deformity and intracranial complication
Summary
Nasal septal abscess (NSA) is defined as a collection of pus between the nasal septal cartilage and the overlying mucoperichondrium or mucoperiosteum, with most cases affecting the anterior septal cartilage [1, 2] This rare entity, usually presenting after trauma to the nose, can result in devastating complications. Radiologic, and histopathologic findings for NSA in an 8-year-old boy complicated with a right maxillary, ethmoid and frontal sinusitis and intracranial abscess. An 8-year-old boy presented to the Emergency department of our tertiary children’s hospital with a progressive, worsening and painful, right periorbital oedema extending over the right cheek and nasal ridge for five days. He complained of bilateral nasal obstruction of seven days duration. The patient responded well to drainage of pus and medical management and was discharged after full recovery in 3 weeks on oral antibiotic therapy for a week
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