Nasal septal hematoma

Nasal septal hematoma
Other namesNasal septal hematoma
Nasal septal hematoma
SpecialtyOtolaryngology

Nasal septal hematoma is a condition affecting the nasal septum.[1] It can be associated with trauma.[2]

A septal hematoma is blood that collects in the space between the septal cartilage and the overlying perichondrium (a cross section of the cartilaginous portion of the nasal septum). A hematoma may deprive the septal cartilage of its blood supply from the overlying mucosa and can lead to permanent sequelae.[3]

The septal cartilage has no blood supply of its own and receives all of its nutrients and oxygen from the perichondrium. An untreated septal hematoma may lead to the destruction of the septum and immediate drainage is necessary. Untimely diagnosis and/or treatment of septal hematomas can cause what is called a saddle nose deformity.[4]

This condition is more common in children because the septum is thicker and the lining more flexible.[5]

  1. ^ Ginsburg CM (April 1998). "Nasal septal hematoma". Pediatr Rev. 19 (4): 142–3. doi:10.1542/pir.19-4-142. PMID 9557069.
  2. ^ Dubach P, Aebi C, Caversaccio M (December 2008). "Late-onset posttraumatic septal hematoma and abscess formation in a six-year-old Tamil girl—case report and literature review". Rhinology. 46 (4): 342–4. PMID 19146008.
  3. ^ 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.
  4. ^ Cite error: The named reference :4 was invoked but never defined (see the help page).
  5. ^ "Nasal septal hematoma". MedlinePlus. Retrieved October 27, 2019.