鼻中膈膿瘍－三例報告

Nasal Septal Abscess - Report of Three Cases

柯福順(Fu-Shun Ko) ； 李達人(Ta-Jen Lee) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 32卷1期 (1997/02) Pp. 82-86

https://doi.org/10.6286/1997.32.1.82

摘要

鼻中膈膿瘍不是常見的感染，數年以來，文獻上的報告也不多，由於它會造成致命的併發症和鼻部外觀變形的後遺症，因此早期診斷和及時治療是很重要的。我們提出最近1年的3個病歷，他們各有不同的病因和治療方式；1例在問診立即接受切開引流，1例在全身麻醉下進行鼻中膈粘膜下切除術（submu-cosal resection; SMR），另1則在局部麻醉下接受鼻中膈粘膜下切除術和鼻中膈的多重穿越縫合（multiple through and through sutures），術後追蹤至今，都沒有產生併發症和外觀的後遺症。

關鍵字

鼻中膈膿瘍 ； 鼻中膈粘膜下切除術

並列摘要

Nasal septal abscess is an uncommon infection and therefore there are limited reports in the medical literature. Early diagnosis and immediately therapy is mandatory to avoid cosmetic deformity and potentially dangerous spread of infection. We present herein three cases of nasal septal abscesses with different causes and managements. One patient received inci-sion and drainage immediately at outpa-tient department; one patient underwent submucosal resection (SMR) of nasal septum under general anesthesia and another one received SMR followed by multipie through and through sutures. Post-operative follow-up showed no complica-tion and cosmetic squelac.

並列關鍵字

nasal septal abscess ； SMR