Nasal septal hematoma

Nasal septal hematoma is a medical condition characterized by the accumulation of blood within the nasal septum. This condition is often a result of trauma to the nose and can lead to complications if not treated promptly.

Causes

The primary cause of a nasal septal hematoma is trauma to the nose. This can occur due to a variety of incidents, such as a fall, a punch to the nose, or a car accident. Other less common causes include surgery on the nose or face, sinusitis, and certain blood disorders that affect clotting.

Symptoms

The symptoms of a nasal septal hematoma can vary depending on the severity of the condition. Common symptoms include nasal congestion, pain in the nose, a change in the shape of the nose, and difficulty breathing through the nose. In severe cases, a visible swelling or bulge may be present in one or both nostrils.

Diagnosis

Diagnosis of a nasal septal hematoma is typically made through a physical examination of the nose. In some cases, imaging tests such as a CT scan or MRI may be used to confirm the diagnosis and assess the extent of the hematoma.

Treatment

Treatment for a nasal septal hematoma involves draining the accumulated blood. This is usually done through a minor surgical procedure in which a small incision is made in the septum and the blood is suctioned out. Following the procedure, the patient may be prescribed antibiotics to prevent infection and a nasal pack or splint to support the septum as it heals.

Complications

If left untreated, a nasal septal hematoma can lead to serious complications. These include septal perforation, in which a hole forms in the septum, and septal abscess, an infection in the septum. In severe cases, the hematoma can cause a deformity of the nose known as a saddle nose deformity.

See also

• Nosebleed
• Nasal fracture
• Septoplasty