Evaluation of the management of nasal septal haematoma and abscess: a systematic review.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-03-01 DOI:10.1017/S0022215124001610

Richard Jackson, Wei Jia, Ovie Edafe

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Abstract

Objective: There is limited evidence on the optimal management of nasal septal haematoma and abscess. This systemic review aims to summarise the management and outcomes and identify gaps in the literature.

Method: A systematic search of Embase, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) and CINAHL was done. We included all studies on management of paediatric and adult patients with nasal septal haematoma or nasal septal abscess.

Results: Seventeen articles were included (15 retrospective and 2 prospective) totalling 503 patients. Prophylactic antibiotics generally are used in nasal septal haematoma. Most septal collections were drained under general anaesthetic, and incision and drainage used in all. Quilting sutures, drains, nasal packing or a combination of these surgical techniques were described. Re-collection occurred in 18 of the 503 (3.6 per cent) patients.

Conclusion: Low rates of re-collection following incision and drainage are reported. There is a lack of well-designed studies that stratify outcomes and morbidity of nasal septal abscess and nasal septal haematoma based on mode of treatment.

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鼻中隔血肿和脓肿治疗评估--系统回顾。

目的：关于鼻中隔血肿和脓肿的最佳治疗方法的证据有限。本系统综述旨在总结管理和结果，并确定文献中的差距。方法：系统检索Embase、PubMed、Cochrane Central Register of Controlled Trials （Central）和CINAHL。我们纳入了所有关于鼻中隔血肿或鼻中隔脓肿的儿童和成人患者处理的研究。结果：纳入17篇文章（15篇回顾性，2篇前瞻性），共503例患者。预防性抗生素一般用于鼻中隔血肿。大部分鼻中隔收集液在全麻下引流，全部采用切口引流。绗缝，引流，鼻填塞或这些手术技术的组合进行了描述。503例患者中有18例（3.6%）复发。结论：切开引流术后再收集率低。目前缺乏设计良好的研究，根据治疗方式对鼻中隔脓肿和鼻中隔血肿的结局和发病率进行分层。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.