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KMID : 0390220200310010074
Journal of Clinical Otolaryngology, Head and Neck Surgery
2020 Volume.31 No. 1 p.74 ~ p.77
A Case of Nasal Septal Abscess Localized at Keystone Area, Suspected of Occurring Following Cauterization for Epistaxis
Jo Yong-Seok

Choi Ick-Soo
Abstract
Generally, a nasal septal abscess (NSA) is defined as a collection of pus between the cartilage and mucoperi?chondrium or bony septum and mucoperiosteum. It usually occurs after nasal trauma. It is commonly resolved without any complications, however, it can lead to serious complications including sepsis, cerebral spreading, and nasal deformities if not taken early diagnosis and proper management. Recently, we experienced a case of nasal septal abscess of 59 year-old female that developed after electrical cauterization for epistaxis. In this case, abscess pocket was located around Keystone area where the septum joins the nasal bones and the upper lateral cartilage. Incision and drainage was done and symptoms were improved. Any otorhinolaryngologist can encounter septal abscess at any time. This case was unusual because it was developed after electrical cauterization and localized in Keystone area. We report this case and discuss about disease and our thesis for this case.
KEYWORD
Nasal septum, Abscess, Cautery, Nose deformities
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