septal haematoma

Question 1

Bleeding under the […] lining the […] cartilage, typically due to nasal […].

Answer 1

Bleeding under the perichondrium lining the septal cartilage, typically due to nasal trauma.

Question 2

Why is this an issue

Answer 2

As the septal cartilage receives blood supply from the overlying mucosa, the haematoma can disrupt blood flow.

Damage to the septal cartilage can occur within 24 hours and if untreated, this can lead to irreversible septal perforation and necrosis, eventually resulting in saddle-nose deformity.

Question 3

Findings

Answer 3

bilateral cherry-red swelling arising from the nasal septum.