2008 Volume 51 Issue 6 Pages 447-451
The characteristic clinical features of nasal septal abscess are nasal obstruction and rhinalgia. Although nasal septal abscess is an uncommon disease, early diagnosis followed by prompt, appropriate therapy is needed to prevent complications such as saddle nose, meningitis, sepsis and cavernous sinus thrombosis.
The reported case was a 56-year-old woman, with the chief complaints of nasal pain and bilateral nasal obstruction. The patient had undergone transnasal operation for a pituitary gland lesion 42 days before the diagnosis of nasal septal abscess. The nasal septum was markably swollen bilaterally, suggesting the presence of nasal septal abscess.
Immediate surgery was undertaken for drainage of the septal abscess. Although the patient improved gradually after the surgery, she developed saddle nose deformity as a complication of the nasal septal abscess.