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Related Experiment Video

Updated: Jul 13, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

[Complications and sequelae after nasal trauma].

R Calderón¹, G Miralles, P Rodríguez Urcelay

¹Servicio de Cirugía Plástica, Hospital Infantil Universitario Niño Jesús, Madrid. ramoncaldena@hotmail.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica

|July 27, 2007

Summary

Undiagnosed septal hematoma from nasal trauma can lead to a septal abscess, causing nasal deformities. Prompt surgical drainage and reconstruction with rib cartilage grafts restored function and aesthetics in a pediatric patient.

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Area of Science:

Otolaryngology
Plastic Surgery
Pediatric Medicine

Background:

Septal hematoma, a complication of nasal trauma, can progress to a septal abscess if not promptly diagnosed and treated.
Septal abscesses, often involving saprophytic bacteria, can cause cartilage necrosis, leading to impaired breathing and significant aesthetic deformities such as nasal collapse.

Observation:

A 10-year-old male experienced an undiagnosed nasal fracture with a concurrent septal hematoma.
The undiagnosed septal hematoma evolved into a septal abscess, necessitating surgical drainage.
The patient subsequently developed nasal sequelae, including dorsal collapse and displacement of the nasal tip and columella.

Findings:

Surgical drainage of the septal abscess was performed.
Functional and aesthetic reconstruction was achieved using autologous rib cartilage grafts.
The patient experienced no complications post-reconstruction.

Implications:

Early recognition and intervention for septal hematoma are crucial to prevent progression to septal abscess and subsequent nasal deformities.
Cartilage grafting provides a viable reconstructive option for significant nasal structural loss following septal abscess.
Successful functional and aesthetic outcomes can be achieved in pediatric patients with complex nasal sequelae through timely surgical management.