Scribd Logo
Upload

Welcome to Scribd!

  • 72 views

    Nasal Septum Hematoma: Sarit Levinsky Group M1656

    Uploaded by

    Sarit Levinsky
    A nasal septal hematoma is a collection of blood within the septum of the nose caused by ruptured blood vessels, often due to trauma. Symptoms include trouble breathing, nasal congestion, and pain. Diagnosis involves examination of the nose. Treatment is surgical drainage of the clot followed by nasal packing to prevent reaccumulation. Complications can include necrosis, infection, and deformity if not treated promptly.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Nasal Septum Hematoma: Sarit Levinsky Group M1656

    Uploaded by

    Sarit Levinsky
    72 views12 pages
    A nasal septal hematoma is a collection of blood within the septum of the nose caused by ruptured blood vessels, often due to trauma. Symptoms include trouble breathing, nasal congestion, and pain. Diagnosis involves examination of the nose. Treatment is surgical drainage of the clot followed by nasal packing to prevent reaccumulation. Complications can include necrosis, infection, and deformity if not treated promptly.

    Original Title

    Nasal Septum Hematoma

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A nasal septal hematoma is a collection of blood within the septum of the nose caused by ruptured blood vessels, often due to trauma. Symptoms include trouble breathing, nasal congestion, and pain. Diagnosis involves examination of the nose. Treatment is surgical drainage of the clot followed by nasal packing to prevent reaccumulation. Complications can include necrosis, infection, and deformity if not treated promptly.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    72 views12 pages

    Nasal Septum Hematoma: Sarit Levinsky Group M1656

    Uploaded by

    Sarit Levinsky
    A nasal septal hematoma is a collection of blood within the septum of the nose caused by ruptured blood vessels, often due to trauma. Symptoms include trouble breathing, nasal congestion, and pain. Diagnosis involves examination of the nose. Treatment is surgical drainage of the clot followed by nasal packing to prevent reaccumulation. Complications can include necrosis, infection, and deformity if not treated promptly.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Nasal

    Septum
    Hematoma
    Sarit Levinsky
    Group M1656
    Definition
    • A nasal septal hematoma is a collection of blood within the septum of
    the nose (between the nostrils) under the perichondrium. The
    hematoma is formed from keisselbach’s plexus.
    Causes
    • Arise from ruptures in the small blood vessels in the nasal septum and
    are largely secondary to trauma (in adults – high energy trauma, in
    children – minor trauma)
    • Broken nose
    • Injury to the soft tissue of the area
    • Surgery
    • Taking blood thinning medication
    • Harsh nose blowing
    • Tumors
    Important principles!
    This condition occurs
    more frequently in
    In children suspect non
    children since their
    !– accidental trauma
    septum is thicker and
    !more flexible

    A vascular cartilage can


    remain viable up to 3 Bilateral hematoma is
    days, after that it !most common
    !undergoes necrosis
    Symptoms
    • Trouble breathing through the nose (90%)
    • Nasal Congestion
    • A change in the shape of the nose
    • Painful swelling of the nose (50%)
    • Rhinorrhea (25%)
    • Pressure
    On occasion, it is possible for patients to experience general symptoms
    such as:
    Fever (25%), Headache, nausea, vomiting and fainting.
    Diagnosis
    • History
    • inspection (any skin changes, bone fractures, bruising, inspect inside of
    the nose)
    • Palpation of the nose (direct palpation may also be necessary)
    • Examination with nasal speculum, otoscope, narinoscopy
    • Imaging: X ray to check for any fractures
    • CT
    • MRI
    Management
    General:
     Refer the patient to
    ORL department as
    soon as possible
     Perform urgent
    drainage
    Surgical:
    • Place lidocaine-soaked cotton pledgets in nose for 5min
    • Achieve visualization with nasal speculum
    • Make horizontal incision superficially through the mucosa and the
    perichondrium
    • Ensure that you do not incise the cartilagenous septum
    • Evacuate clot with Frazier suction or forceps
    • Insert single 1/8in iodoform gauze wick into the incision to avoid premature
    closure
    • Perform bilateral anterior nasal packing with nasal tampons coated with topical
    antibiotics which Prevents reaccumulation of clot and keeps septum midline
    • Give oral antibiotics (cover S. aureus, H. flu, S. pneumo) -Amoxicillin-
    clavulanate for uncomplicated, Clindamycin if abscess suspected
    • Follow up for 72 hours
    Complications

    Septal ischemic Infection/septal


    necrosis abscess

    Saddle nose
    Nasal obstruction Septal necrosis Contiguous spread
    deformity

    Cavernous sinus Intracranial


    osteomyelitis meningitis
    thrombosis abscess

    You might also like