Nasal septal haematoma

Farmer, Sarah; Cuddihy, P. J.

doi:10.1136/bmj.g6075

Cited by 12 publications

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References 14 publications

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“…As a consequence, it may lead to pressure necrosis and ischemia of the septal cartilage, hence causing severe cosmetic distortion of the nose. 8 Septal hematoma formation can also be an ideal medium for the colonization of bacteria that leads to the formation of septal abscess, which can have a more disastrous outcome. 7,8 Prevalence of septal hematoma in adults is lower as compared to in the pediatric population.…”

Section: Discussionmentioning

confidence: 99%

“…8 Septal hematoma formation can also be an ideal medium for the colonization of bacteria that leads to the formation of septal abscess, which can have a more disastrous outcome. 7,8 Prevalence of septal hematoma in adults is lower as compared to in the pediatric population. This is because children have a softer and more flexible septal cartilage combined with a loosely adherent mucoperichondrium making a septal hematoma more common even after a minor trauma.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Nasal Septal Hematoma and Abscess: A Rare Manifestation of Leukemia

et al. 2021

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Nasal septal abscess and hematoma are rare clinical entities. To the best of our knowledge, there have only been 2 cases of nasal septal abscess associated with haematological malignancy reported in the literature. Herein, we present a unique case of recurrent spontaneous nasal septal hematoma and abscess in a patient prior to and after the diagnosis of acute myelogenous leukemia. Its rarity in immunocompromised population, clinical presentation, treatment and complications are further discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recurrent Nasal Septal Hematoma and Abscess: A Rare Manifestation of Leukemia

et al. 2021

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“…An internal nasal exam should be performed with a nasal speculum, adequate light, and suction to evaluate for bleeding, mucosal lacerations, exposed cartilage or bone, septal injuries, and septal hematoma. 38 Airflow through the nose should be assessed and the patient should be asked about previous nasal injuries and surgeries as well as breathing problems.…”

Section: Evaluation and Special Considerationsmentioning

confidence: 99%

“…This results in cartilage necrosis and must be identified and managed acutely to prevent the development of septal perforation, septal abscess, and saddle nose deformity. 38 Given the complex innervation of the nose, multiple injections of local anesthetic are required for a combination of nerve blocks and local infiltration. The infraorbital nerve blocks can provide anesthesia to the lateral nasal side walls.…”

Section: Evaluation and Special Considerationsmentioning

confidence: 99%

Management of Traumatic Soft Tissue Injuries of the Face

Cho

Willborg

2021

Semin Plast Surg

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Facial soft tissue injuries encompass a broad spectrum of presentations and often present significant challenges to the craniofacial surgeon. A thorough and systematic approach to these patients is critical to ensure that the patient is stabilized, other injuries identified, and the full extent of the injuries are assessed. Initial management focuses on wound cleaning with irrigation, hemostasis, and debridement of nonviable tissue. Definitive management is dependent on the region of the face involved with special considerations for critical structures such as the globe, lacrimal apparatus, facial nerve, and parotid duct. Following sound surgical principles, these injuries can be managed to maximize both functional and aesthetic outcomes while minimizing complications.

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“…The typical symptoms of nasal septal hematoma and/or abscess are a progressive nasal obstruction (95 percent), persistent or worsening pain (50 percent), rhinorrhea (25 percent). All children with facial trauma should be assessed for associated injuries to the cervical spine, central nervous system, chest, orbits, and teeth [ 14 - 16 ] ( Fig. 1 ).…”

Section: Introductionmentioning

confidence: 99%

The Impact of the Nasal Trauma in Childhood on the Development of the Nose in Future

Kopacheva-Barsova¹,

Arsova²

2016

Open Access Maced J Med Sci

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AIM:To prevent and to treat nasal trauma in children properly, because it can lead to displacement or depression of the nasal bones or septum. Second, our aim was, for the patient to recognise and create a mature decision for eventual nose changes which will be made with the operative intervention or they are not mature enough and the decisions were made by their parents.MATERIAL AND METHODS:Our retrospective study was made at University Clinic for Ear, Nose and Throat, Faculty of Medicine, Ss Cyril and Methodius University of Skopje in the period of 6 years (2005-2016). Seventy-three patients were admitted with recent or previous nasal trauma or nasal deformity. The first group of 32 were children and adolescents from 6-14 years old who were admitted to our hospital because of recent nasal trauma. The second group of 41 children and adolescents from 6-14 years old were admitted to our hospital because of previous nasal trauma, which was not treated on time, or it was not treated properly. They were admitted to our clinic for surgical intervention septo/rhinoplasty. The second group of patients fills the brief psychological questioner prepared by Clinical psychiatrist from University Clinic of Psychiatry, in Skopje, and their psychological reactions were taken into consideration.RESULTS:Eleven of the children and adolescents who had nasal fracture without dislocation, who have no symptoms, minimal swelling, and no septal deviation or hematoma, were observed with a specific follow-up: 3 days after nasal fracture, then every week in the first month, after 1 month, and after 3 months period. Sixteen of children and adolescents who had a nasal fracture with subluxation of nasal septum were operated with closed reduction (repositio nasi) under general anaesthesia. The others with septal hematomas and subperichondrial abscess were treated as in adults’ patients. The second group of 41 children and adolescents from 6-14 years old consisted with with the previous nasal trauma which was not treated on time or it was improperly treated. In 24 (58.54%) of these patients septoplasty was performed and in 17 (41.46%) was performed rhino septoplasty.CONCLUSION:Often, difficult septal deformations in children are followed with deformation of the nasal pyramid (rhino scoliosis, rhino lordosis). In those cases, we cannot solve septal pathology without nasal pyramid intervention in the same time and opposite. Clinical reports have not produced solid evidence for the statement that septal surgery has no negative effect on nasal growth or can serve for correcting abnormal growth. The functional and esthetic problems of the patient, however, mean a continuous stimulus for further clinical and experimental investigations.

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Nasal septal haematoma

Cited by 12 publications

References 14 publications

Recurrent Nasal Septal Hematoma and Abscess: A Rare Manifestation of Leukemia

Recurrent Nasal Septal Hematoma and Abscess: A Rare Manifestation of Leukemia

Management of Traumatic Soft Tissue Injuries of the Face

The Impact of the Nasal Trauma in Childhood on the Development of the Nose in Future

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