User:Mr. Ibrahem/Nasal septal hematoma
| Nasal septal hematoma | |
|---|---|
| Other names | Nasal septal hematoma |
 | |
| Septal hematoma | |
| Specialty | Otolaryngology |
| Symptoms | Blockage of the nose, pain[1] |
| Complications | Saddle nose deformity, septal abscess, septal perforation[2][1] |
| Usual onset | Within 72 hours of trauma[1] |
| Causes | Trauma, bleeding problems[1] |
| Diagnostic method | Examination[1] |
| Differential diagnosis | Nasal polyps, nasal septum deviation, hemangioma[1] |
| Treatment | Incision and drainage, nasal packingref name=NEJM2015/> |
| Frequency | Rare[1] |
Nasal septal hematoma is a collection of blood next to the cartilage or bone of the nasal septum.[1] Symptoms include blockage of the nose and pain.[1] One or both sides may be involved.[1] Without timely treatment a saddle nose deformity, septal abscess, or septal perforation may occur.[2][1]
It generally occurs due to trauma to the nose.[1] This can result from various mechanisms such as falls, assault, surgery, or child abuse.[1] It may also occur due to bleeding problems.[1] A hematoma may deprive the underlying cartilage of its blood supply.[2] Diagnosis is based on examination.[1]
Treatment involves immediate cutting open and drainage of the hematoma followed by packing the nose.[2] Nasal septal hematoma is rare.[1] Cases may be missed, especially in children.[1]
References[edit]
- ^ a b c d e f g h i j k l m n o p q Gupta, Gunjan; Mahajan, Kunal (2022). "Nasal Septal Hematoma". StatPearls. StatPearls Publishing. Archived from the original on 5 February 2022. Retrieved 5 February 2022.
- ^ a b c d Kass, Jason I.; Ferguson, Berrylin J. (2015-05-28). "Treatment of Hematoma of the Nasal Septum". New England Journal of Medicine. 372 (22): e28. doi:10.1056/NEJMvcm1010616. ISSN 0028-4793. PMID 26017844. Archived from the original on 2022-02-05. Retrieved 2022-01-02.