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Updated: Apr 11, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Innovative management of nasal septal hematoma in an infant
R Sumitha1, Ajay Kumar Anandan2, Aberna Govarthanaraj1
1Department of ENT, Sree Balaji Medical College and Hospital, Chromepet, Chennai, Tamil Nadu, India.
Insights
Nasal septal hematoma requires prompt surgical drainage. A novel technique using a tubular nasal pack and endotracheal tube in an infant prevented airway obstruction and cyanosis post-surgery.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Anesthesiology
Background:
- Nasal septal hematoma, a blood collection within the nasal septum, necessitates urgent surgical intervention to avert complications.
- Postoperative nasal packing is standard to prevent recurrence but causes significant discomfort, particularly in infants who are obligatory nose breathers.
- Infants may experience cyanosis due to airway obstruction from nasal packing.
Abstract:
Nasal septal hematoma is a collection of blood between the cartilage or bone and mucoperichondrium or mucoperiosteum of the nose. This condition requires immediate surgical drainage to prevent complications. All patients need nasal packing postoperatively to prevent recurrence. This causes a lot of discomforts due to mouth breathing more in infants who are obligatory nose breathers. They can go for cyanosis in the postoperative period. Here, we discuss the case report of an infant who had tubular nasal pack with endotracheal tube postoperatively to maintain the patency of nose.
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