Nasal septal hematoma

Nasal septal hematoma/haematoma is a condition affecting the nasal septum.[1] It can be associated with trauma.[2]

Because the septal cartilage has no blood supply of its own and receives all of its nutrients and oxygen from the perichondrium, an untreated septal hematoma may lead to destruction of the septum. Immediate drainage is necessary. Failure to recognise septal hematomas, or treat in a timely fashion, can cause a saddle nose deformity.


To treat a septal haematoma it is incised & drained to prevent avascular necrosis of the septal hyaline cartilage which depends on diffusion of nutrients from its attached nasal mucosa. Small hematomas can be aspirated with a wide-bore needle. Large hematomas are drained by an incision parallel to nasal floor.[3] Systemic antibiotics are given after the incision and drainage to prevent local infection.


  1. Ginsburg CM (April 1998). "Nasal septal hematoma". Pediatr Rev. 19 (4): 142–3. doi:10.1542/pir.19-4-142. PMID 9557069.
  2. Dubach P, Aebi C, Caversaccio M (December 2008). "Late-onset posttraumatic septal hematoma and abscess formation in a six-year-old Tamil girl--case report and literature review". Rhinology. 46 (4): 342–4. PMID 19146008.
  3. Dhingra, P.L. Diseases Of Ear,Nose And Throat & Head And Neck Surgery. Elsevier India. ISBN 8131234312.

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