SEPTAL HEMATOMA
What is it?
The nose is the most frequently injured facial structure. When there is trauma to the anterior nasal septum, hematoma formation may occur. Although septal hematomas are rare, early diagnosis and treatment is important to prevent abscess formation, septal perforation, saddle nose deformity and potentially permanent complications.
The nasal septum is normally 2-4 mm thick. If the cartilage is fractured, blood can dissect through the fracture line and form bilateral hematomas; therefore, both sides should be examined. The most common symptoms noted in children were nasal obstruction, pain, rhinorrhea, and fever. Symptoms usually appear within the first 24-72 hours.
Treatment
Because of the myriad of complications, septal hematomas must be drained by an ENT surgeon as quickly as possible.
References
www.emedicine.com
www.uptodate.com
What is it?
The nose is the most frequently injured facial structure. When there is trauma to the anterior nasal septum, hematoma formation may occur. Although septal hematomas are rare, early diagnosis and treatment is important to prevent abscess formation, septal perforation, saddle nose deformity and potentially permanent complications.
The nasal septum is normally 2-4 mm thick. If the cartilage is fractured, blood can dissect through the fracture line and form bilateral hematomas; therefore, both sides should be examined. The most common symptoms noted in children were nasal obstruction, pain, rhinorrhea, and fever. Symptoms usually appear within the first 24-72 hours.
Treatment
Because of the myriad of complications, septal hematomas must be drained by an ENT surgeon as quickly as possible.
References
www.emedicine.com
www.uptodate.com