Erdinc Cekic1* and Oren Friedman2
1Department of Otorhinolaryngology, Head and Neck Surgery, Lutfiye Nuri Burat State Hospital, Sultangazi, Istanbul, Turkey
2Department of Clinical Otorhinolaryngology, Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Nasal septal hematoma is a clinical condition characterized by blood accumulation within the septal space, between the cartilage and its perichondrium, most commonly occurring following trauma. Post-traumatic hematomas are generally localized more anteriorly while surgically induced hematomas occur further posteriorly. Vascular supply of the nasal septum comes from diffusion of blood from vessels located in the mucosa and mucoperichondrium, so disruption of the mucoperichondrium bilaterally may result in septal ischemia and potentially necrosis. Cartilage destruction may occur very early on after the event, within hours, and may lead to problems related to maxillary and nasal growth and development. Because of the importance of early intervention in order to prevent long term significant consequences, front-line providers including pediatricians, emergency room physicians, family practitioners, otolaryngologists, and plastic surgeons must be aware of this uncommon, but easily treatable, serious issue.
Cekic E, Friedman O. Septal Hematoma Management in Peadiatric Patients. Clin Surg. 2017; 2: 1675.