Background: Spontaneous nasal septal haematoma or abscess is a rare condition that can result in serious infective and cosmetic complications. Methodology: We present a case of a delayed diagnosis of a spontaneous nasal septal haematoma in a healthy 53-year old male, as well as a comprehensive review of the literature on spontaneous nasal septal haematoma and abscess. Results: Spontaneous nasal haematoma and abscess are rare entities with only 2 previous reports of spontaneous nasal septal abscess in immunocompetent adults and one paper reporting spontaneous nasal septal haematoma in a Nigerian population. Conclusions: Nasal septal haematoma can occur spontaneously in healthy individuals with no predisposing factors or trauma. Prompt recognition and treatment is paramount to avoid potentially serious complications.
Background
Regional metastasis of head and neck cutaneous squamous cell carcinoma (HNcSCC) can be seen in either parotid and/or cervical lymph nodes. The aim of this study was to assess whether there was a difference in prognosis between parotid and cervical nodal metastases.
Methods
Patients with regional metastasis from HNcSCC were identified from an institutional database. Disease‐specific (DSS) and overall survival (OS) were calculated using the Kaplan–Meier method and Cox proportional hazards models.
Results
Five hundred and thirty‐five patients were identified with median follow‐up of 26.4 months (3–255 months). Two hundred and thirty‐five patients had parotid metastasis, 96 patients had neck metastasis, and 204 patients had both. On multivariable analysis, any regional metastasis to the neck when compared to parotid alone conferred worse DSS (HR 1.8, p = 0.007) and OS (HR 1.3, p = 0.024).
Conclusion
Regional metastasis of HNcSCC to the neck confers worse outcomes compared to metastasis to the parotid alone.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.