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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
- 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.
- 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
of the nasal bridge - from septal fibrosis; also known as saddle nose
Last reviewed 01/2018