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Diseases of Nose and Septum

Question
20 out of 26
 

True about septal hematoma is:



A Occurs due to trauma

B Can lead to saddle-nose deformity

C Conservative treatment

D May lead to abscess formation

Ans. A B and D. Occurs due to trauma; Can lead to saddle nose deformity; and May lead to abscess formation

a. Septal Hematoma is collection of blood within the subperichondrial plane of septum.

b. Etiology: It results from nasal trauma, septal surgery or bleeding disorder.

c. Clinical features: Bilateral nasal obstruction is the commonest presenting symptom. It may be associated with frontal headache and a sense of pressure over the nasal bridge.

d. Examination: Reveals smooth round swelling of the septum in both the nasal fossae.

e. On palpation: The mass is soft and fluctuant.

f. Treatment: Small hematomas can be aspirated with a wide bore sterile needle. Large hematomas are incised and drained. Heaccumalation is prevented by intranasal packing.

Complications

a. Septal hematoma, if not drained, may organize into fibrous tissue leading to a permanently thickened septum.

b. If secondary infection supervenes, it results in septal abscess.

c. Loss of structural support can cause depression of nasal dorsum leading to saddle nose deformaity.

d. Necrosis of the cartilage can cause perforation of the nasal septum -Dhingra 5th/ed, p 166

Diseases of Nose and Septum Flashcard List

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