Management and Complications of Nasal Septal Collections

Olusola Ayodele Sogebi, Emmanuel Abayomi Oyewole

ENT Unit, Department of Surgery, Faculty of Clinical Sciences, OACHS, Olabisi Onabanjo University, Sagamu, Nigeria 

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

Received: 29 May 2020; Revised: 24 July 2020; Accepted: 11 August 2020; Available online: 1 September 2020

Abstract

Background: Nasal septum collections (hematoma and abscess) can lead to structural and functional abnormalities. Our objective was to assess the clinical characteristics, management and complications of nasal septal collections, and document factors associated with their complications. Methods: This was a retrospective study of patients managed for nasal septal collections. Socio-demographic and clinical information was recorded, and the main investigations and results noted. Follow-up and complications of septal collections were documented and the clinical factors associated with the complications explored. Results: Twenty-four patients records were studied: male: female ratio=2:1, mean age 40.1±13.1years,62.5% presented with complaints of nasal obstruction, 66.7% had antecedent nasal trauma, presentation was from 2 to 13 days,25%had co-morbid disease(s). All patients had incision and drainage of the septal collection within 1–7 h; 41.2% of the aspirated collections cultured microorganisms, 20.8% 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;20% developed complications associated with the presence of culture-positive abscesses, increased age, and duration of septal collection.

 

Keywords: Nasal trauma, Septal hematoma, Septal abscess, Complications
Ann Afr Surg. 2021; 18(2): 79–84
DOI: http://dx.doi.org/10.4314/aas.v18i2.4
Conflicts of Interest: None
Funding: None
© 2021 Author. This work is licensed under the Creative Commons Attribution 4.0 International License. 

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