title: An unusual cause of necrosis and nasal septum perforation after septoplasty: Enterobacter cloacae.
abstract: A 20-year-old man with nasal obstruction underwent septoplasty due to nasal septal deviation. Nasal packs were inserted at the end of surgery and removed 48 hours after surgery. Twenty-four hours after removal of nasal packs, there was necrosis in both sides of septal mucosa and in bilateral inferior turbinates. Nasal swab culture was performed from both nasal cavities. Enterobacter cloacae was isolated from samples. Two weeks after surgery, nasal septum perforation was unavoidable. To our knowledge, this is the first case in literature describing septal mucosal necrosis caused by this pathogen after septoplasty. Mucosal necrosis and perforation as septoplasty complications should be kept in mind, the result of causes both common and, as in the present case, unusual.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Binar
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Arslan
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Tasli
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Karakoc
authors.affiliation: Department of Medical Microbiology, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Kilic
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Aydin
keywords: Antibiotics; Enterobacter cloacae; necrosis; septal perforation; septoplasty