Korean J Otorhinolaryngol-Head Neck Surg.  2019 Apr;62(4):242-245. 10.3342/kjorl-hns.2017.01039.

A Case of Septal Abscess and Sphenoid Sinusitis after Dental Implant

• Lee J
• Kim SJ
• Choi MS

• KMID: 2448119
• DOI: http://doi.org/10.3342/kjorl-hns.2017.01039

Abstract

A nasal septal abscess results from the collection of purulent fluid between the cartilage of bony septum and overlying mucoperichondrium or mucoperiosteum. Unless early diagnosis and surgical treatment are performed, serious complications such as cavernous sinus thrombophlebitis, sepsis, and saddle nose may occur. We report a case of septal abscess and sphenoid sinusitis that occurred after dental implant. A 74-year-old female with diabetes and liver cirrhosis was referred to the hospital for management of rapidly aggravated perinasal pain, nasal obstruction, and headache. The patient had undergone dental implant in the right upper incisor area 6 days ago. A CT revealed septal abscess and bilateral sphenoid sinusitis. The patient was operated upon to drain septal abscess, and both sphenoid sinuses were opened widely.

Keyword

Abscess; Dental implant; Immunocompromised host; Nasal septum; Sphenoid sinusitis

MeSH Terms

Abscess*
Aged
Cartilage
Cavernous Sinus Thrombosis
Dental Implants*
Early Diagnosis
Female
Headache
Humans
Immunocompromised Host
Incisor
Liver Cirrhosis
Nasal Obstruction
Nasal Septum
Nose
Sepsis
Sphenoid Sinus*
Sphenoid Sinusitis*
Dental Implants