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1.
Rev. argent. cir. plást ; 30(1): 85-89, 20240000. fig
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1551535

RESUMO

La rinoplastia es una de las intervenciones más comunes en cirugía plástica. Se opera aquí una rinoplastia secundaria por vía abierta injertando los alares y la punta con cartílagos auriculares, mientras el tabique cartilaginoso fue usado para los spreader grafts. Se describe aquí una infección posoperatoria de su punta nasal. Al 9no día de su posoperatorio comienza con la punta nasal congestiva y levemente inflamada. Se medica con una crema con antibióticos, pero el día 14 aparece con la punta nasal muy inflamada y con colección. Cuando en el consultorio el cirujano la ve, como cualquier absceso, decide realizarle drenaje con un trocar 18G, 3 miniincisiones en la piel debajo de la punta nasal, de la que drena un líquido amarronado. Luego con el mismo trocar se realiza un lavado dentro de la cavidad con rifampicina solución. Se medica con trimetoprima-sulfametoxazol (Bactrimforte®) 2 comp/día. Al otro día se observa una notable mejoría. Se continuó con lavado diario durante 4 días con el mismo antibiótico evolucionando rápidamente bien. El Bactrim se lo continúa por 20 días. Al mes la punta nasal está muy bien, deshinchada con cicatrices apenas visibles. A los cuatro meses, la punta está muy blanda, las alas nasales y las narinas normales, la punta con buena proyección igual que el dorso con los spreader graft.


Rhinoplasty is one of the most common interventions in plastic surgery. A secondary open rhinoplasty was carried out grafting the allae and the tip of the nose with conchae cartilage, while the septum was used for spreader grafts. We are here describing this post operatory with a tip of the nose infection.In the control, at the 9th postoperative day, the nasal tip began to be congested and at the 14th post op day the patient showed a clear inflammatory collection. In the office, the surgeon decided to evacuate it with three punctureslike little incisions at the inferior part of the skin tip with a trocar 18G. Through them, drained brownish purulent secretion. With the same trocar, rifampicin solution was injected through these little incisions, like washing the subdermal area. It was medicated with trimethoprim-sulfamethoxazole (Bactrim forte®) 2 tablets/day. The following day, there was a clear improvement in the congestion and erythema of the nose. This procedure of washing was repeated for four days. There was a quick evolution of the inflammatory process and 20 more days, there was no sign of the infection. Four months later, the tip of the nose was soft and the result was considered optimal by the patient and doctors.


Assuntos
Humanos , Feminino , Adulto , Complicações Pós-Operatórias/terapia , Rinoplastia/métodos , Transplantes/cirurgia , Infecções/terapia
2.
Am J Otolaryngol ; 44(4): 103888, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37060780

RESUMO

PURPOSES: The purpose of this study was to present and analyze the etiologic factors, clinical manifestations, bacteriology, and treatment outcomes of nasal septal abscess in a large cohort of adult patients. MATERIAL AND METHODS: Retrospective analysis. RESULTS: 36 adult patients, age from 19 to 85 (mean age, 51.83), with nasal septal abscesses were treated at Ear Nose Throat Hospital of Ho Chi Minh City from January 2020 to August 2022. The most common symptoms were nasal obstruction (75 %), headache/facial pain (58.33 %). Etiologic factors were found in 83.33 % of cases with the most common were diabetes mellitus (47.22 %), nose-picking (44.44 %). 75 % of cases had positive bacterial culture, of which 70.37 % were Staphylococcus aureus. Septal abscess was successfully treated in all cases using our treatment protocol, which involved an extended modified Killian's incision, irrigation with 1 % poviodine, placement of gauze in the abscess pocket, and nasal packing with Merocels. CONCLUSIONS: Diabetes and nose-picking were the most common etiologic factors; Staphylococcus aureus was the most common organism of nasal septal abscess in our study. Our treatment protocol is safe and effective.


Assuntos
Diabetes Mellitus , Obstrução Nasal , Doenças dos Seios Paranasais , Doenças Faríngeas , Infecções Respiratórias , Infecções Estafilocócicas , Humanos , Adulto , Pessoa de Meia-Idade , Septo Nasal , Abscesso/etiologia , Abscesso/terapia , Abscesso/diagnóstico , Estudos Retrospectivos , Obstrução Nasal/complicações , Doenças dos Seios Paranasais/complicações , Staphylococcus aureus , Infecções Respiratórias/complicações , Celulite (Flegmão) , Infecções Estafilocócicas/terapia , Infecções Estafilocócicas/complicações , Doenças Faríngeas/complicações
3.
Iran J Med Sci ; 48(1): 102-105, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36688199

RESUMO

Nasal swab tests are widely used to screen for coronavirus disease 2019 (COVID-19). Pain, discomfort, and the urge to sneeze are the most common complications of this screening method. We report a case of a 55-year-old female patient with beta-thalassemia major suffering from a nasal septal abscess (NSA) as a complication of a COVID-19 nasal swab test. Following the test, the patient only had mild nasal congestion. However, three days later, her clinical condition deteriorated, and she developed fever, and her level of consciousness decreased to lethargy and drowsiness. Physical examinations revealed a bilateral nasal abscess. She underwent surgical intervention, and the abscess was removed. For the first time in Iran, a case of NSA after a COVID-19 nasal swab test is reported. It is strongly recommended to exercise caution while performing nasal swab tests, especially in the elderly and patients at risk of bleeding or hemoglobinopathy.


Assuntos
COVID-19 , Doenças dos Seios Paranasais , Infecções Respiratórias , Humanos , Feminino , Idoso , Pessoa de Meia-Idade , Abscesso/diagnóstico , Abscesso/etiologia , Septo Nasal/cirurgia , COVID-19/complicações , Doenças dos Seios Paranasais/complicações , Infecções Respiratórias/complicações , Celulite (Flegmão)/complicações
4.
Ear Nose Throat J ; 102(4): NP195-NP198, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33734887

RESUMO

We describe a case of spontaneous nasal septal abscess (NSA) in a 9-year-old child. We also reviewed the literatures in recent years and summarized the characteristics of NSA, such as gender, age, inducement, pathogenic bacteria, treatment, and prognosis. We found that this boy reported by us has the most extensive abscess. May be the delay of treatment was related to the recent fluctuation of COVID-19 epidemic in China. Fortunately, with the help of surgery and anti-infection treatment, the boy was discharged from the hospital without septal perforation or saddle nose.


Assuntos
COVID-19 , Doenças dos Seios Paranasais , Infecções Respiratórias , Masculino , Humanos , Criança , Septo Nasal , Abscesso/etiologia , COVID-19/complicações , Doenças dos Seios Paranasais/complicações , Infecções Respiratórias/complicações
5.
Facial Plast Surg ; 39(4): 387-392, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36452993

RESUMO

Based on the analysis of a single surgeon's consecutive cases, we present the incidence of septoplasty complications and factors that contribute to the increased risk of complications. We retrospectively reviewed the medical records from 1,506 patients diagnosed with deviated nasal septum who underwent septoplasty by a single surgeon from January 2003 until May 2020. The incidence of different complications was investigated. Predisposing factors for specific complications were examined with univariate analysis. The average age of patients was 35 (11-76) years. Out of 1,506 patients, 1,252 were male, and 254 were female. The most frequent complication was insufficient correction (78 cases, 5.2%), and revision septoplasty was performed in 21 cases. We also reported 59 (3.9%), 55 (3.7%), 33 (2.2%), 20 (1.3%), and 18 (1.2%) cases of olfactory dysfunction, hematoma, synechia, abscess, and septal mucosal defect, respectively. Additionally, there were nine (0.6%), six (0.4%), five (0.3%), four (0.3%), and four (0.3%) cases of septal perforation, postoperative bleeding, saddle nose, chondritis, empty nose syndrome, respectively. The proportion of insufficient correction was higher in revision cases than in primary cases. Hematoma formation, abscess formation, and septal mucosal defect occurred more frequently in the bilateral flap elevation group. Olfactory dysfunction was significantly more frequent when the bony batten was inserted, while hematoma, abscess formation, and septal mucosal defect were more frequent when the cartilage batten was used. Septoplasty was associated with the risk of several complications, while complication rates were influenced by choice of surgical techniques and approaches.


Assuntos
Obstrução Nasal , Transtornos do Olfato , Rinoplastia , Cirurgiões , Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Septo Nasal/cirurgia , Abscesso/complicações , Abscesso/cirurgia , Estudos Retrospectivos , Obstrução Nasal/cirurgia , Obstrução Nasal/etiologia , Resultado do Tratamento , Rinoplastia/efeitos adversos , Rinoplastia/métodos , Hematoma/epidemiologia , Hematoma/etiologia
6.
J Craniofac Surg ; 34(3): e241-e244, 2023 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-36284368

RESUMO

A nasal septal abscess is a rare lesion that usually results from a nasal septal hematoma after nasal trauma or surgery, although it can occur unexpectedly. Nasal septal abscesses should be prevented and treated immediately. The authors describe 2 unusual cases: 1 caused by sudden loosening of the quilting suture of the nasal septum and the other by a nasopharyngeal swab test for coronavirus disease-2019. The authors also provide an intraoperative video and a literature review.


Assuntos
COVID-19 , Procedimentos Cirúrgicos Nasais , Doenças dos Seios Paranasais , Humanos , Abscesso/diagnóstico por imagem , Abscesso/etiologia , COVID-19/complicações , Septo Nasal/cirurgia , Septo Nasal/lesões , Doenças dos Seios Paranasais/cirurgia , Procedimentos Cirúrgicos Nasais/efeitos adversos
7.
BMJ Case Rep ; 15(6)2022 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-35732366

RESUMO

A man in his 50s with type 2 diabetes mellitus (T2DM) presented with a nasal septal abscess 3 weeks following septoplasty. Diabetes mellitus has been reported in association with nasal septal abscess, thought to be due to a relative immunodeficient state. We present an unusual, delayed presentation of nasal septal abscess following septoplasty and performed a literature review. Nasal septal abscess is rare. It is associated with significant complications if not diagnosed and management expediently. The association between T2DM and nasal septal abscess following septoplasty emphasises the importance of good perioperative blood sugar control and postoperative nasal care and raises the question of empirical antibiotics in this group.


Assuntos
Carbúnculo , Diabetes Mellitus Tipo 2 , Obstrução Nasal , Doenças dos Seios Paranasais , Doenças Faríngeas , Infecções Respiratórias , Rinoplastia , Abscesso/cirurgia , Carbúnculo/complicações , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/cirurgia , Humanos , Masculino , Obstrução Nasal/cirurgia , Septo Nasal/cirurgia , Doenças dos Seios Paranasais/complicações , Doenças Faríngeas/cirurgia , Infecções Respiratórias/complicações , Rinoplastia/efeitos adversos
8.
Artigo em Chinês | MEDLINE | ID: mdl-34304499

RESUMO

The main clinical manifestations of this patient were repeated epistaxis for 20 days and nasal swelling with pain for 5 days. We improved the blood routine, indicating increased inflammatory indicators, biochemical indicating increased blood glucose, immunological examination showed no obvious abnormality, sinus CT and MRI both indicated septal abscess, histological pathology indicated inflammation, and finally confirmed the diagnosis through pus bacteria culture. After combined with systemic antifungal therapy, symptoms and signs disappeared, no saddle nose and nasal septum perforation and other complications occurred, and no obvious liver and kidney function imp-airment was obseved.


Assuntos
Abscesso , Doenças Nasais , Antifúngicos , Epistaxe , Humanos , Septo Nasal/diagnóstico por imagem
9.
Arch. argent. pediatr ; 119(3): e261-e263, Junio 2021. ilus
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1248225

RESUMO

Los hematomas y abscesos septales constituyen una urgencia en rinología y requieren tratamiento quirúrgico temprano debido al riesgo de complicaciones infecciosas, funcionales y estéticas. Suelen aparecer como consecuencia de un traumatismo nasal, aunque también se han descrito en relación con otros desencadenantes. La acumulación de sangre o pus entre el mucopericondrio y el cartílago septal causa lesión por necrosis avascular en el cartílago y la destrucción de este.Desde el punto de vista clínico, se presenta como insuficiencia ventilatoria nasal y dolor facial. Con menor frecuencia, el motivo de consulta es deformidad del dorso nasal, epistaxis, rinorrea purulenta y fiebre.Se presentan en este trabajo dos casos clínicos con diagnóstico de hematoma septal que requirieron cirugía.


Hematomas and septal abscesses are an emergency in rhinology and require early surgical treatment due to the risk of infectious, functional, and aesthetic complications. They generally occur as a consequence of nasal trauma, although they have also been described in relation to other triggers. Accumulation of blood or pus between the mucoperichondrium and septal cartilage, causes avascular necrosis injury to the cartilage with cartilage destruction.Clinically it presents as nasal ventilatory insufficiency and facial pain. In a lower percentage, the reason for consultation was nasal dorsal deformity, epistaxis, purulent rhinorrhea and fever.We present two clinical cases with septal hematoma. Both required surgery.


Assuntos
Humanos , Feminino , Pré-Escolar , Criança , Cartilagens Nasais/lesões , Hematoma/diagnóstico , Ferimentos e Lesões , Abscesso , Hematoma/cirurgia
10.
Arch Argent Pediatr ; 119(3): e261-e263, 2021 06.
Artigo em Espanhol | MEDLINE | ID: mdl-34033434

RESUMO

Hematomas and septal abscesses are an emergency in rhinology and require early surgical treatment due to the risk of infectious, functional, and aesthetic complications. They generally occur as a consequence of nasal trauma, although they have also been described in relation to other triggers. Accumulation of blood or pus between the mucoperichondrium and septal cartilage, causes avascular necrosis injury to the cartilage with cartilage destruction. Clinically it presents as nasal ventilatory insufficiency and facial pain. In a lower percentage, the reason for consultation was nasal dorsal deformity, epistaxis, purulent rhinorrhea and fever. We present two clinical cases with septal hematoma. Both required surgery.


Los hematomas y abscesos septales constituyen una urgencia en rinología y requieren tratamiento quirúrgico temprano debido al riesgo de complicaciones infecciosas, funcionales y estéticas. Suelen aparecer como consecuencia de un traumatismo nasal, aunque también se han descrito en relación con otros desencadenantes. La acumulación de sangre o pus entre el mucopericondrio y el cartílago septal causa lesión por necrosis avascular en el cartílago y la destrucción de este. Desde el punto de vista clínico, se presenta como insuficiencia ventilatoria nasal y dolor facial. Con menor frecuencia, el motivo de consulta es deformidad del dorso nasal, epistaxis, rinorrea purulenta y fiebre. Se presentan en este trabajo dos casos clínicos con diagnóstico de hematoma septal que requirieron cirugía.


Assuntos
Septo Nasal , Doenças Nasais , Abscesso , Criança , Febre , Hematoma/diagnóstico , Hematoma/etiologia , Humanos , Septo Nasal/cirurgia
13.
Clin Med Res ; 19(1): 35-38, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33582646

RESUMO

Nasal septal abscess and hematoma are rare clinical entities. To the best of our knowledge, there have only been 2 cases of nasal septal abscess associated with haematological malignancy reported in the literature. Herein, we present a unique case of recurrent spontaneous nasal septal hematoma and abscess in a patient prior to and after the diagnosis of acute myelogenous leukemia. Its rarity in immunocompromised population, clinical presentation, treatment and complications are further discussed.


Assuntos
Leucemia , Doenças Nasais , Abscesso/diagnóstico por imagem , Abscesso/etiologia , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Humanos , Septo Nasal/diagnóstico por imagem
14.
Ann Otol Rhinol Laryngol ; 130(8): 966-969, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33423503

RESUMO

INTRODUCTION: Nasal septal abscess is a rare disorder in pediatric patients and is mostly diagnosed as a complication of trauma or secondary to dental or sinonasal infection. CASE PRESENTATION: A 10-year-old girl presented with acute nasal obstruction, otalgia, and headache. Medical history was negative; physical examination and anterior rhinoscopy did not reveal signs of acute rhinosinusitis or septal abscess. MANAGEMENT AND OUTCOME: A thorough nasal endoscopy was performed to rule out a posterior nasal infection, revealing a bilateral posterior septal bulging, in the absence of purulent discharge. CT scan and contrast-enhanced MRI were performed, confirming the diagnosis of a spontaneous posterior septal abscess. Trans-nasal endoscopic-assisted drainage was conducted under general anesthesia. Haemophilus influenzae was detected on culture. DISCUSSION: Although rare, nasal septal abscess in the pediatric age is typically anterior and secondary to local trauma or infection. Accurate medical history and anterior rhinoscopy are usually sufficient to make the diagnosis. In cases where the clinical presentation is consistent with a nasal septal abscess, with no history of recent local trauma or infection, or signs of anterior septal bulging, nasal endoscopy should be performed to rule out spontaneous posterior septal abscess. Delay in diagnosis and treatment could potentially cause the rapid onset of life-threatening complications, including intracranial abscess, meningitis, and cavernous sinus thrombosis.


Assuntos
Abscesso/diagnóstico , Infecções por Haemophilus/diagnóstico , Haemophilus influenzae , Obstrução Nasal/etiologia , Septo Nasal , Abscesso/complicações , Abscesso/terapia , Criança , Feminino , Infecções por Haemophilus/complicações , Infecções por Haemophilus/terapia , Humanos , Obstrução Nasal/diagnóstico , Obstrução Nasal/terapia
16.
Laryngorhinootologie ; 99(8): 586-587, 2020 08.
Artigo em Alemão | MEDLINE | ID: mdl-32731295
17.
Ann Otol Rhinol Laryngol ; 129(6): 633-636, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31975610

RESUMO

OBJECTIVE: A nasal septal abscess after placement of a dental implant is seldom seen and is usually caused by an infection around the implant. A septal haematoma following dental implantation leading to septal abscess formation has never been reported. METHODS AND RESULTS: We present a case of a patient who developed a septal abscess after dental implantation without accompanying signs of infection around the implant. On the computed tomography scan we found the implant protruding the nasopalatine duct which led to bilateral septal hemorrhage, resulting in abscess formation. The patient underwent reconstructive nasal septum surgery, using an autologous auricular cartilage graft. This resulted in a good nasal function and cosmetic outcome. CONCLUSIONS: Medical health care professionals should be aware of a septal abscess in case of an acute blocked nose even without prior nasal or facial trauma or nasal surgery. Reconstruction of the septal nasal cartilage using autologous conchal cartilage is a good solution to preserve nasal function as well as tip support.


Assuntos
Abscesso/cirurgia , Implantação Dentária/efeitos adversos , Implantes Dentários/efeitos adversos , Deformidades Adquiridas Nasais/cirurgia , Complicações Pós-Operatórias/cirurgia , Rinoplastia/métodos , Traumatismos Dentários/cirurgia , Abscesso/diagnóstico por imagem , Abscesso/etiologia , Humanos , Masculino , Cartilagens Nasais/cirurgia , Obstrução Nasal/etiologia , Septo Nasal , Deformidades Adquiridas Nasais/diagnóstico por imagem , Deformidades Adquiridas Nasais/etiologia , Palato Duro , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/etiologia , Hemorragia Pós-Operatória , Procedimentos de Cirurgia Plástica , Tomografia Computadorizada por Raios X , Conchas Nasais/transplante , Adulto Jovem
18.
Pan Afr Med J ; 36: 234, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33708325

RESUMO

The fungal nasal septum abscess is a rare localized invasive form of fungal rhinosinusitis. Rare cases have been described in the literature. In this article, we intend to describe a new case of fungal nasal septum abscess caused by Aspergillus flavus in diabetic patient after sinonasal surgery. A 53-year-old woman with a history of uncontrolled type 2 diabetes and asthma developed a nasal septum abscess after a sinonasal endoscopic surgery which was performed for nasal polyposis. Needle aspiration of the abscess was performed and the pus cultures were positive for Aspergillus flavus. The patient was treated with antifungal drugs and surgical drainage of the abscess. A clinical and biological improvement was observed. Her case has been followed up for 18 months, and there hasn't been any recurrence of the infection. The fungal nasal septum abscess should be suspected in patients who do not respond adequately to standard treatment of nasal septum abscess, especially patients with risk factors of fungal rhinosinusitis.


Assuntos
Abscesso/diagnóstico , Aspergilose/diagnóstico , Aspergillus flavus/isolamento & purificação , Septo Nasal/microbiologia , Abscesso/microbiologia , Antifúngicos/administração & dosagem , Aspergilose/microbiologia , Diabetes Mellitus Tipo 2/fisiopatologia , Feminino , Humanos , Pessoa de Meia-Idade , Pólipos Nasais/microbiologia , Pólipos Nasais/cirurgia , Rinite/diagnóstico , Rinite/microbiologia , Sinusite/diagnóstico , Sinusite/microbiologia
19.
Medicine (Baltimore) ; 98(52): e17802, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31876702

RESUMO

RATIONALE: Epistaxis is a common otorhinolaryngological emergency, but septal abscess has not been reported before as a complication of epistaxis. PATIENT CONCERNS: We report a case of a 51-year-old man complaining of nasal obstruction and facial numbness for 3 weeks. He had a history of epistaxis, and had been treated with electrocauterization of the left nasal septum at a local clinic 1 month earlier. DIAGNOSES: On nasal endoscopy, swelling of the septum was noticed; computed tomography (CT) was performed, and revealed a septal abscess. INTERVENTIONS: The patient was treated with incision and drainage under local anesthesia. A left vertical hemitransfixion incision was made and 4 mL of purulent material was drained. There was no quadrangular septal cartilage. OUTCOMES: On the 5th postoperative day, the patient complained of blurred vision in his right eye. Visual acuity of the left eye was 0.5, but acuity of the right eye was finger count at 50 cm. Examination of the right eye revealed a whitish fan-shaped corneal opacity on the medial side with neovascularization, diagnostic of lipid keratopathy. CONCLUSION: Electrocautery of epistaxis should be performed carefully during hemostasis, and there should be careful follow-up after the procedure to detect the occurrence of septal hematoma or septal abscess. These conditions should be treated as early as possible to avoid further serious complications. Since lipid keratopathy is difficult to treat once it occurs, care should be taken to avoid a septal abscess.


Assuntos
Abscesso/diagnóstico , Doenças da Córnea/diagnóstico , Septo Nasal , Doenças Nasais/diagnóstico , Abscesso/diagnóstico por imagem , Abscesso/etiologia , Abscesso/terapia , Doenças da Córnea/etiologia , Drenagem , Eletrocoagulação/efeitos adversos , Epistaxe/complicações , Epistaxe/terapia , Humanos , Lipídeos , Masculino , Pessoa de Meia-Idade , Obstrução Nasal/etiologia , Septo Nasal/diagnóstico por imagem , Doenças Nasais/etiologia , Tomografia Computadorizada por Raios X
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