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Generally, a nasal septal abscess (NSA) is defined as a collection of pus between the cartilage and mucoperi￾chondrium or bony septum and mucoperiosteum. It usually occurs after nasal trauma. It is commonly resolved without any complications, however, it can lead to serious complications including sepsis, cerebral spreading, and nasal deformities if not taken early diagnosis and proper management. Recently, we experienced a case of nasal septal abscess of 59 year-old female that developed after electrical cauterization for epistaxis. In this case, abscess pocket was located around Keystone area where the septum joins the nasal bones and the upper lateral cartilage. Incision and drainage was done and symptoms were improved. Any otorhinolaryngologist can encounter septal abscess at any time. This case was unusual because it was developed after electrical cauterization and localized in Keystone area. We report this case and discuss about disease and our thesis for this case.