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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}


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
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  • 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.

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