Article Text

Download PDFPDF
Case report
Lateral nasal wall abscess following manipulation of fractured nasal bones
  1. Simon Morris1,
  2. Heikki Whittet2 and
  3. Ali Salamat2
  1. 1 ENT, Abertawe Bro Morgannwg University Health Board, Port Talbot, UK
  2. 2 ENT, Morriston Hospital, Swansea, UK
  1. Correspondence to Dr Simon Morris; s.morris{at}doctors.org.uk

Abstract

Nasal fracture accounts for over 50% of facial fractures and is a frequent presentation to ear, nose and throat emergency clinics. Optimal management of nasal injuries with deformity is by manipulation under anaesthetic and should be offered when appropriate. A healthy 27-year-old woman presented with a lateral nasal wall mass with purulent discharge 1 month following manipulation. CT imaging revealed a mass arising from fragments of the nasal bone, consistent with an abscess. Bone fragments and purulent material were initially debrided, with a subsequent formal excision of a persistent granuloma performed with an excellent cosmetic outcome. This appears to be the first description of a granuloma resulting from a closed reduction—manipulation of a nasal fracture.

  • ear, nose and throat/otolaryngology
  • otolaryngology / ENT
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors SM was the lead author. HW and AS were co-authors and supervisors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.