Fluid collection in Septum

The collection of purulent material between the cartilaginous or bony septum is called nasal septal abscess. Nasal septal abscesses happen mostly after minor nasal trauma, but may also result from iatrogenic causes and sinonasal or dental infection. The hematoma formed secondary to the rupture of small blood vessels in the nasal septum following nasal trauma separates the mucoperichondrium from the septal cartilage and bacterial colonization of that particular area leads to the formation of an abscess.

Patients with a nasal septal abscess show symptoms of nasal obstruction, pain, rhinorrhea, fever, nasal fracture, bleeding, and cellulitis. Severe complications may be associated with nasal septal abscess, including meningitis, intracranial abscess, orbital cellulitis, cavernous sinus thrombosis, and nasal oral fistula, especially in patients with immunosuppression. An abscess can also occur as a complication of inferior turbinate laser surgery.

A nasal septal abscess has a characteristic appearance on CT examination as a cystic collection of fluid with thin rim enhancement involving the nasal septum. Early diagnosis and treatment are crucial to prevent associated complications of the nasal septal abscess. Surgical drainage of the purulent contents of a nasal septal abscess relieves the pressure. Nasal packing, the placement of a Penrose drain, reduction of nasal fractures, and delayed reconstruction of destroyed nasal cartilage may also be done.

Spur on Septum

Bone spurs or the Osteophytes are extra bone growth along natural, pre-existing bones. When these bony growths develop in the nasal cavity they are called nasal bone spurs. Bone spurs occur along the floor of the nasal cavity. Body attempts to repair any weakened conditions. When a nose bone is fractured, during the healing process a bone spur will grow. It is also caused by regular pressure to an area near the bone. Any kind of stress to a bone area can cause a bone spur. Nasal bone spurs go unnoticed and undiagnosed and cause nosebleeds or nasal-airway obstruction, eventually leading breathing difficulties. Nasal bone spurs can cause severe headaches. Headaches due to bone spurs may be misdiagnosed as normal migraines in the preliminary diagnosis. Nasal bone spurs can create pain when they touch or poke into the sides of the naval cavity. Sometimes nasal bone spurs can be the cause of sinus pain.

Nasal bone spurs causing any negative effects need to be treated. The potentially sharp and poking bone protruding from the nasal bone is removed in the treatment. Intranasal surgery can potentially eliminate headaches due to spurs. The surgical procedure to remove spur is called a septoplasty.
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