Nasal Septal Haematoma Flashcards

1
Q

What is Nasal Septal Haematoma?

A

Development of a haematoma between the septal cartilage and overlying perichondrium.

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2
Q

Aetiology of Nasal Septal Haematoma.

A

Complication of nasal trauma (can be relatively minor).

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3
Q

Clinical Presentation of Nasal Septal Haematoma (2).

A
  1. Sensation of Nasal Obstruction.

2. Pain and Rhinorrhoea.

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4
Q

Examination of Nasal Septal Haematoma.

A

Bilateral cherry-red swelling arising from nasal septum.

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5
Q

Differential Diagnosis of Nasal Septal Haematoma.

A

Probe the swelling - boggy in NSH but firm in Septal Deviation.

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6
Q

Management of Nasal Septal Haematoma (2).

A
  1. Surgical Drainage.

2. IV Antibiotics.

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7
Q

Prognosis of nasal Septal Haematoma.

A

Irreversible Septal Necrosis (within 3-4 days) due to pressure-related ischaemia of cartilage = SADDLE-NOSE DEFORMITY.

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