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Nasalseptal hematoma/abscess: management and outcome in a tertiary hospital of a developing country

Authors Nwosu J, Nnadede P

Received 21 March 2015

Accepted for publication 2 May 2015

Published 28 July 2015 Volume 2015:9 Pages 1017—1021

DOI https://doi.org/10.2147/PPA.S85184

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Johnny Chen

Jones N Nwosu, Peter C Nnadede

Department of Otolaryngology, University of Nigeria Teaching Hospital, Enugu, Nigeria

Background: Nasal hematoma/abscess is an uncommon entity, but capable of leading to serious consequences if not handled meticulously, and with urgency.
Objective: To present the management, and outcome of nasal septal hematoma/abscess in a Nigerian tertiary institution.
Method: Consecutive patients diagnosed with nasal septal hematoma/abscess over a 10-year period, treated at the University of Nigeria Teaching Hospital, Enugu, Nigeria, were prospectively studied. The processes leading to diagnosis, treatment, and outcome were sequentially evaluated.
Results: Fifty-three patients (37 males and 16 females), age 5–65 years (with mean age of 23.10 years), were included. Surgical drainage of the hematoma/abscess, intranasal packing with insertion of drain was performed with total resolution of problem in all the cases.
Conclusion: Incision and drainage, and intranasal packing with insertion of drain was effective in treating nasal septal hematoma/abscess.

Keywords: septal hematoma, abscess, facial deformity

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