Management and Complications of Nasal Septal Collections

Olusola Ayodele Sogebi, Emmanuel Abayomi Oyewole

ENT Unit, Department of Surgery, Faculty of Clinical Sciences, OACHS, Sagamu, Nigeria.

Correspondences to: Dr Olusola A Sogebi, E-mail: ayosogebs@gmail.com

Abstract

Background: Nasal septum collections (hematoma and abscess) can lead to structural and functional abnormalities. Objectives: To assess the clinical characteristics, management and complications of nasal septal collections, and document factors associated with its complications. Material and Methods: Retrospective study of patients managed for nasal septal collections. Socio-demographic and clinical information were recorded. Main investigations and results were noted. Follow-up and complications of septal collections were documented. Clinical factors associated with the complications were explored. Results: Twenty-four patients records were studied; M: F=2:1, mean age 40.1 ± 13.1years. A sum total of   62.5% presented with complaints of nasal obstruction, 66.7% had antecedent nasal trauma while presentation was from 2 to 13 days. Twenty-five percent of the patients had co-morbid disease(s).  All the patients had incision and drainage of the septal collection within 1-7 hours. A total of   41.2% of the aspirated collections cultured microorganisms, 20.8% of patients developed complications. Increased age above 45 years, co-morbidity, delayed presentation, culture positive aspirate was all significantly associated with development of complications. Conclusion: Nasal septal collections were more common in adult males with antecedent nasal trauma. One-fifth developed complications. Complications were associated with presence of culture positive abscess, increased age and duration of septal collection.

 

Keywords: Nasal trauma, septal hematoma, septal abscess, complications

Ann Afr Surg. ****; **(*):***

DOIhttp://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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