Hemorrhage between nasal septal cartilage and the adjacent mucoperichondrium can result in a hematoma.
NOTE: Failure to treat the hematoma early and aggressively can result in serious complications. Referral to an ENT surgeon is usually indicated.
Risk factors:
(1) trauma
(2) bleeding disorder
(3) antiplatelet drug or anticoagulant
(4) pediatric age group
A hematoma can occur even after minor injuries.
Clinical features:
(1) red, fluctuant swelling
(2) tends to obstruct the nasal cavity bilaterally
(3) adjacent bruising
Complications:
(1) nasal septal necrosis with deformity (saddle nose, etc)
(2) nasal septal abscess
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Specialty: Otolaryngology
ICD-10: ,
