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[Septal hematoma: Report of two pediatric cases]
Malena Vega1, Florencia Bianchi2, Daniel Cruz3
1Residencia de Otorrinolaringología Infantil. Hospital General de Niños "Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina. malena.v.martari@gmail.com.
Archivos Argentinos De Pediatria
|May 25, 2021
Summary
Septal hematomas and abscesses are rhinology emergencies requiring prompt surgery to prevent complications. Early surgical intervention is crucial for managing these conditions and preserving nasal structure and function.
Area of Science:
- Rhinology
- Otolaryngology
- Surgical Pathology
Background:
- Hematomas and septal abscesses are critical emergencies in rhinology.
- These conditions necessitate early surgical intervention to mitigate risks of infectious, functional, and aesthetic sequelae.
- While commonly linked to nasal trauma, other etiologies exist.
Observation:
- Accumulation of blood or pus between the mucoperichondrium and septal cartilage leads to avascular necrosis and cartilage destruction.
- Clinical manifestations include nasal ventilatory insufficiency and facial pain.
- Other presenting symptoms can involve nasal dorsal deformity, epistaxis, purulent rhinorrhea, and fever.
Findings:
- Two clinical cases of septal hematoma were presented.
- Both cases required surgical management.
Implications:
- Prompt surgical treatment is vital for managing septal hematomas and abscesses.
- Effective surgical intervention can prevent severe complications and restore nasal function.
- Understanding the pathophysiology is key to timely diagnosis and treatment in rhinology.
