Spontaneous Nasal Septal Abscess: A Case Report.

Area of Science:

• Otolaryngology
• Rhinology
• Infectious Diseases

Background:

• Nasal septal abscess (NSA) is a rare but critical rhinologic emergency.
• NSA typically arises from infection between the nasal septum and its lining, often due to hematoma or idiopathic causes.
• Prompt diagnosis and intervention are essential to prevent severe complications.

Observation:

• This report details a case of a 46-year-old male with no prior risk factors presenting with NSA.
• The patient received broad-spectrum antibiotics for treatment.
• Surgical intervention included incision, drainage, and placement of a Penrose drain and silastic sheet.

Findings:

• The patient underwent successful surgical treatment for nasal septal abscess.
• Postoperative management involved a Penrose drain and silastic sheet placement.
• The patient recovered without developing septal perforation or saddle nose deformity.

Implications:

• This case highlights the importance of timely medical and surgical management for NSA.
• Effective treatment can avert long-term sequelae such as septal perforation and saddle nose deformity.
• Even in the absence of typical risk factors, NSA requires vigilant diagnosis and management.