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KMID : 0361020190620040242
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Korean Journal of Otolaryngology - Head and Neck Surgery
2019 Volume.62 No. 4 p.242 ~ p.245
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A Case of Septal Abscess and Sphenoid Sinusitis after Dental Implant
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Lee Jun
Kim Su-Jin
Choi Myung-Su
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Abstract
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A nasal septal abscess results from the collection of purulent fluid between the cartilage of bony septum and overlying mucoperichondrium or mucoperiosteum. Unless early diagnosis and surgical treatment are performed, serious complications such as cavernous sinus thrombophlebitis, sepsis, and saddle nose may occur. We report a case of septal abscess and sphenoid sinusitis that occurred after dental implant. A 74-year-old female with diabetes and liver cirrhosis was referred to the hospital for management of rapidly aggravated perinasal pain, nasal obstruction, and headache. The patient had undergone dental implant in the right upper incisor area 6 days ago. A CT revealed septal abscess and bilateral sphenoid sinusitis. The patient was operated upon to drain septal abscess, and both sphenoid sinuses were opened widely.
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KEYWORD
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Abscess, Dental implant, Immunocompromised host, Nasal septum, Sphenoid sinusitis
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