582 AMBRUS, BT AL.: NASAL SEPTAL ABSCESS, The drain and finger cots remain in place until drainage has ceased, usually 2-8 days, In uncomplicated cases, intravenous antibiotics should be maintained for 8-5 days, followed by appropriate oral antibioties for 7-10 ays. SUMMARY. ‘This retrospective review of 16 cases in a 10 year experience shows NSA to be an uncommon entity. The cases are examined in detail for history, physical findings, laboratory data, and method of treatment, The incidence, diagnosis, bacteriology, and pathophysiology of NSA are discussed. The predominance of NSA''seen in this series seems to be related to the time of presentation and obtaining of careful cultures, Treatment is based on a rationale involving: 1, needle aspiration for diagnostic confirmation and culture material; 2. intravenous antibiotics based on Gram’s stain smear and age of the patient; and 9. surgical drain age once adequate CNS levels of antibiotics have been attained. Drainage should include both excision of a portion of mucoperichondrium and place- ment of a drain. Immediate therapy is indicated in an attempt to avoid Potential complications such as eosinetie deformity or intracranial infec- on, BIBLIOGRAPHY, 1. Lancueko, R. M.: On Abscesses of the Nasal Septum in Children, Vestn, Otorhinolaryn- gol., 23:46-49, (Mar.-Apr.) 1961. 2. Feanon, B.: Abscess of the Nasal Septum in Children, Arch. Otolaryngol. 74:66-70, (Oct.) 1961. 3, Eavey, R. D,: Bacterial Meningitis Secondary to Abscess of the Nasal Septum, Pediatrics, 60:102-104, (July) 1977. 4, Brox, A. L.: Abscess of the Nasal Septum Complicating Acute Ethmoiditis, Arch. Oto- Taryngol., 42:975-279, 1945, 5. Fx, H. J.: The Pathology and Treatment of Hematoma of the Nasal Septum, J. Plast. Surg,, 22:981-335, (Oct.) 1969. 6, Lurovac, N.: Brain Abscess After Resection of Nasal Septum. Srp. Ath. Celok. Lek, (Bel- grade), 95:959-965, 1967. 7. McCaskey, C. H.: Rhinogenic Brain Abscess. Tire Lanyncoscore, 61:460-467, 1951. 8. Sunxov, V. K.: ‘The Veins of the Nasal Septum with Regard to the Formation of Hema- tomas and Abscesses, Vestn, Otorhinolaryngol. 25:14-19, 1963. 9. Moxon, E, R.; Haemophilus influenzae Meningitis in Infant Rats After Intranasal Inocu- lation, J. Infect. Dis., 129:154-162, (Feb) 1974, 10, Mowrconreny, W. W.: Surgery of the Upper Respiratory System, Ed. 2, Lea and Fegi- ger Publications, Philadelphia, PA, Vol. 1, pp. 849-351, 1979, 11. Wirson, G. and Mies, A. In Topley and Wilson’s Principles of Bacteriology and Immimity. Vol. 1, William and Wilkins Company, Baltimore, MD, 1975,