Septal harmatoma

Septal harmatoma

It is due to collection of blood beneath the mucoprechondrium of the nasal septum this collection interfere with the vitality of the cartilage ,the cartilage remain viable for 3 days more than 3 days the chondrocyte die lead to absorption of the cartilage
Clinical pictures
Nasal obstruction---complete bilateral nasal obstruction
Discomfort
Septal swelling soft red in colour

Complication
Septal abcess
Cartilage necrosis
Nasal saddle deformity
Treatment
Simple aspiration ---if haematoma is small

Incision and drainage

Packing to obliterate dead space with or without quilting suture

Systemic AB
Septal abcess
*Mostly due to trauma 75%

*Infective –measle,scarlet fever,furenculosis,AIDS.
*Complicate ethmoid and sphenoid sinus infection

Complication
Spread infection to orbit,meningies,brain,cavernous sinus
Clinical pictures
Sever pain
Septal swelling
Nasal obstruction
Pyrexia

Treatment
Immediate drainage
Systemic AB
Reconstruction of the defect in the acute phase will reduce growth impaction