International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 4 , Pages 150-154 , December 2009

Septal abscess in a 14-month-old child: Diagnosis, management, and discussion of reconstructive options

  • Jaimie DeRosa

      Affiliations

    • Division of Facial Plastic and Reconstructive Surgery, Massachusetts Eye and Ear Infirmary, Harvard University, 243 Charles St., Boston, MA 02114, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 617 573 4110; fax: +1 617 573 3727.
    • ,
  • Jeffrey R. Smit

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Geisinger Medical Center, Danville, PA, United States

Received 5 September 2008 ,Revised 21 November 2008 ,Accepted 27 November 2008.

  • Image Result

    Base view of widened caudal nasal septum with complete bilateral obstruction seen on initial presentation.

    Base view of widened caudal nasal septum with complete bilateral obstruction seen on initial presentation.

  • Image Result

    Preoperative CT scan demonstrating a 2.2cm×2.4cm×1.1cm organized, rim-enhancing fluid collection of the caudal nasal septum with resultant bilateral nasal airway obstruction.

    Preoperative CT scan demonstrating a 2.2cm×2.4cm×1.1cm organized, rim-enhancing fluid collection of the caudal nasal septum with resultant bilateral nasal airway obstruction.

  • Image Result

    Seven month follow-up. Note the persistent nasodorsal depression at the anterior septal angle.

    Seven month follow-up. Note the persistent nasodorsal depression at the anterior septal angle.

  • Image Result

    Example of a costal cartilage extended columellar strut graft used in the reconstruction of nasal saddle deformity after nasoseptal abscess.

    Example of a costal cartilage extended columellar strut graft used in the reconstruction of nasal saddle deformity after nasoseptal abscess.

PII: S1871-4048(08)00074-9

doi: 10.1016/j.pedex.2008.11.003

International Journal of Pediatric Otorhinolaryngology Extra
Volume 4, Issue 4 , Pages 150-154 , December 2009

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