Nasal Septal haematoma Flashcards
What is a nasal septal haematoma?
The development of a haematoma between the septal cartilage and the overlying perichondrium.
What can a nasal septal haematoma be precipitated by?
Relatively minor trauma
What is the most common symptom of nasal septal haematoma?
The sensation of nasal obstruction
What would you see on examination of someone with a nasal septal haematoma?
A bilateral, red swelling arising from the nasal septum
What other symptoms can a nasal septal haematoma present with?
Pain and rhinorrhoea
What is the management of a nasal septal haematoma?
Emergency referral to ENT for surgical incision and drainage
intravenous antibiotics
What can happen if a nasal septal haematoma is left untreated?
Irreversible septal necrosis may develop within 3-4 days.
What is the name of the complication that can arise from an untreated nasal septal haematoma?
‘saddle-nose’ deformity