title: Intranasal Drainage for Pediatric Nasal Abscesses.
abstract: Nasal abscesses of the tip or soft tissues are uncommon in children. We describe an endonasal surgical approach for nasal abscesses based on our experience with 3 children at our tertiary care, academic children's hospital. All presented with significant nasal pain out of proportion to the physical examination findings, along with edema, induration, and some intermittent bleeding and discharge of sebaceous and/or keratinous debris. Parenteral antibiotics were administered for an initial period of at least 24 hours in all cases, without any significant improvement in the patients' symptoms. Computed tomography (CT) with intravenous contrast was diagnostic in all cases. Symptomatic relief was achieved immediately postoperatively. No child required a second drainage procedure, and all children had an uneventful recovery.
authors.affiliation: Division of Pediatric Otolaryngology, Cohen Children's Medical Center, New Hyde Park, New York, New York, USA Department of Otolaryngology-Head and Neck Surgery, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, USA jcheng2@nshs.edu.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Cheng
authors.affiliation: Division of Pediatric Otolaryngology, Cohen Children's Medical Center, New Hyde Park, New York, New York, USA Department of Otolaryngology-Head and Neck Surgery, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, USA.
authors.forename: Lee P
authors.initials: LP
authors.lastname: Smith
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods; D005260:Female; D006776:Hospitals, Pediatric; D006785:Hospitals, University; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: intranasal drainage; nasal abscess; pediatrics