This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Nasal septal haematoma

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Nasal septal haematoma

  • is a blood-filled cavity between the cartilage and the supporting perichondrium (1)
  • it is a condition with similarities to the subchondral haematoma seen in ear injuries - and in fact may have similar clinical consequences.
  • it occurs when there has been a shearing injury causing the perichondrium to be stripped from the underlying cartilage. Unless corrected, necrosis results as the cartilage is dependent upon the perichondrium for its blood supply, by diffusion.
  • treatment
    • urgent drainage and firm nasal packing to ensure adherence of the perichondrium to the cartilage.
    • it should be aspirated immediately or can be incised with the aid of local anesthesia (1)
    • antibiotics are recommended.
  • complications of a neglected haematoma include:
    • septal abscess - causing accelerated cartilage necrosis, and possibly, intracranial sepsis
    • collapse of the nasal bridge - from septal fibrosis; also known as saddle nose

Reference:


Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.