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.