ENT Updates

Clinical Research

Analysis of patients with septal abscess caused by electrocauterization of the nasal septum

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https://doi.org/10.32448.entupdates.828992
Akyigit, A., Keleş, E., Karlıdağ, T., Kaygusuz, İrfan, Salih Yağmahan, M., & Yalçın, Şinasi. (2020). Analysis of patients with septal abscess caused by electrocauterization of the nasal septum. ENT Updates, 10(3). https://doi.org/10.32448.entupdates.828992
Volume 10 Issue 3 (2020)
Copyright (c) 2020 Abdulvahap Akyigit, Erol Keleş, Turgut Karlıdağ, İrfan Kaygusuz, Mehmet Salih Yağmahan, Şinasi Yalçın
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Abdulvahap Akyigit Department of Otolaryngology, Fırat University Faculty of Medicine, Elazığ, Türkiye
  • Erol Keleş Department of Otolaryngology, Fırat University Faculty of Medicine, Elazığ, Türkiye
  • Turgut Karlıdağ Department of Otolaryngology, Fırat University Faculty of Medicine, Elazığ, Türkiye
  • İrfan Kaygusuz Department of Otolaryngology, Fırat University Faculty of Medicine, Elazığ, Türkiye
  • Mehmet Salih Yağmahan
    Department of Otolaryngology, Doç. Dr. Yaşar Eryılmaz Doğubeyazıt State Hospital, Doğubeyazıt, Ağrı, Türkiye
  • Şinasi Yalçın Department of Otolaryngology, Fırat University Faculty of Medicine, Elazığ, Türkiye

Objective: Although nasal septal abscesses are mostly caused by trauma, they may occur due to non-traumatic causes. In the present study, we aimed to review patients who underwent electrocauterization of the nasal mucosa for epistaxis and subsequently developed a nasal septal abscess.

Methods: The study included 11 patients who underwent nasal electrocauterization for epistaxis and were subsequently admitted to our clinic with a pre-diagnosis of septal abscess for drainage of the abscess. The medical records of the patients, including details such as age, sex, duration of follow-up, symptoms, chronic diseases, microbiological cultures, radiological investigations and complications were retrospectively evaluated.

Results: Of the 11 patients included, seven were male and four were female with a mean age of 66.18±3.7 years. The mean duration of follow-up was 29.09±17.5 months; five patients had both hypertension and diabetes mellitus, three patients had only diabetes mellitus and three patients had only hypertension. Microbiological culture of the purulent material collected during septal abscess drainage revealed no bacterial growth in six patients, growth of Staphylococcus aureus in two patients and growth of Corynebacterium amycolatum in one patient. Four patients underwent preoperative computed tomography (CT) of the paranasal sinuses and five patients developed a saddle nose deformity in the long-term follow-up.

Conclusion: All surgical interventions to the nose or cauterization procedures should be performed under sterile conditions, especially in patients with chronic diseases, and such patients should be followed up after the procedure.

Keywords:

Septal abscess epistaxis electrocauterization