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October 1961

Abscess of the Nasal Septum in Children: A Case History of Meningitis Secondary to a Septal Abscess

Arch Otolaryngol. 1961;74(4):408-412. doi:10.1001/archotol.1961.00740030417009

Abscess of the nasal septum, in most instances, is the result of infection of a hematoma of the nasal septum. Septal abscess may also occur as a complication of surgery to the nose or as a complication of infectious diseases, such as influenza, from sinus suppuration, or from extension of furuncles of the nasal vestibulae to the nasal septum.

Hematoma of the nasal septum is an accumulation of blood under the mucoperichondrium of the nasal septum. In the early stages the hematoma may be unilateral, but eventually it becomes bilateral, due either to a fracture of the septal cartilage or, more likely, due to septal perforation secondary to ischemic necrosis. Most often, etiology is that of relatively minor trauma to the nose, such as from falls or blows to the nose, and, consequently, hematoma of the nasal septum is more common in boys.

The diagnosis of septal hematoma is made

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