Nasal septal hematoma
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Nasal septal hematoma | |
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Synonyms | N/A |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Nasal congestion, nasal obstruction, pain, swelling |
Complications | Septal abscess, nasal deformity, infection |
Onset | After nasal trauma |
Duration | Varies, can be acute or chronic |
Types | N/A |
Causes | Trauma to the nose, surgery, nose picking |
Risks | Nasal fracture, anticoagulant therapy |
Diagnosis | Physical examination, nasal endoscopy |
Differential diagnosis | Nasal polyp, deviated septum, septal abscess |
Prevention | N/A |
Treatment | Incision and drainage, antibiotics |
Medication | Analgesics, antibiotics |
Prognosis | Good with treatment, risk of complications if untreated |
Frequency | Uncommon |
Deaths | N/A |
Nasal septal hematoma is a medical condition characterized by the accumulation of blood within the nasal septum. This condition is often a result of trauma to the nose and can lead to complications if not treated promptly.
Causes
The primary cause of a nasal septal hematoma is trauma to the nose. This can occur due to a variety of incidents, such as a fall, a punch to the nose, or a car accident. Other less common causes include surgery on the nose or face, sinusitis, and certain blood disorders that affect clotting.
Symptoms
The symptoms of a nasal septal hematoma can vary depending on the severity of the condition. Common symptoms include nasal congestion, pain in the nose, a change in the shape of the nose, and difficulty breathing through the nose. In severe cases, a visible swelling or bulge may be present in one or both nostrils.
Diagnosis
Diagnosis of a nasal septal hematoma is typically made through a physical examination of the nose. In some cases, imaging tests such as a CT scan or MRI may be used to confirm the diagnosis and assess the extent of the hematoma.
Treatment
Treatment for a nasal septal hematoma involves draining the accumulated blood. This is usually done through a minor surgical procedure in which a small incision is made in the septum and the blood is suctioned out. Following the procedure, the patient may be prescribed antibiotics to prevent infection and a nasal pack or splint to support the septum as it heals.
Complications
If left untreated, a nasal septal hematoma can lead to serious complications. These include septal perforation, in which a hole forms in the septum, and septal abscess, an infection in the septum. In severe cases, the hematoma can cause a deformity of the nose known as a saddle nose deformity.
See also
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Contributors: Prab R. Tumpati, MD