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Nasal septal abscess is a condition of the nasal septum [1] in which there is a collection of pus between the mucoperichondrium and septal cartilage. Signs and symptoms [ edit ]
The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.
It compared delaying antibiotic treatment to either starting them immediately or to no antibiotics. Outcomes were mixed depending on the respiratory tract infection; symptoms of acute otitis media and sore throat were modestly improved with immediate antibiotics with minimal difference in complication rate.
Antibiotics are not required for treatment unless an infection occurs. [1] About 4% of people currently have nasal polyps while up to 40% of people develop them at some point in their life. [1] They most often occur after the age of 20 and are more frequent in males than females. [1]
Nasal endoscopy and clinical symptoms are also used to make a positive diagnosis. [28] A tissue sample for histology and cultures can also be collected and tested. [68] Nasal endoscopy involves inserting a flexible fiber-optic tube with a light and camera at its tip into the nose to examine the nasal passages and sinuses.
Secondary infections can be prevented by starting the patient on an antibiotic regimen immediately after the procedure and continuing the treatment while the nasal packs are in place. If an abscess is present, a specimen of the abscess can be sent for culture to ensure that the antibiotics prescribed have provided adequate coverage.
Infections are generally sensitive to antibiotics designed for this bacteria class, though complicated by inducible resistance mechanisms, [5] particularly lactamase; infections accordingly become quickly resistant to standard antibiotics during treatment, necessitating a change in antibiotic to avoid worsening of the sepsis.
Rhinitis medicamentosa (or RM, also known as rebound congestion) is a condition of rebound nasal congestion suspected to be brought on by extended use of topical decongestants (e.g., oxymetazoline, phenylephrine, xylometazoline, and naphazoline nasal sprays) and certain oral medications (e.g., sympathomimetic amines and various 2-imidazolines) that constrict blood vessels in the lining of the ...