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Alar cartilage haematoma
T Meehan1, H Kaddour, F J Lannigan
1Department of Otolaryngology, Hull Royal Infirmary.
The Journal of Laryngology and Otology
|June 1, 1994
Insights
A subperichondrial hematoma can occur on the alar cartilage, presenting as a nasal blueberry after trauma. Early surgical drainage is recommended to prevent cosmetic deformity in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Plastic Surgery
Background:
- Subperichondrial hematomas are collections of blood between the perichondrium and cartilage.
- These hematomas typically occur in the nasal septum but can affect other cartilaginous structures.
Observation:
- Two pediatric cases presented with acute trauma to the nose.
- Clinical examination revealed a 'blueberry' appearance in the nasal vestibule, indicative of a hematoma.
Findings:
- A previously undescribed site for subperichondrial hematoma was identified: the alar cartilage.
- The hematoma was located between the perichondrium and the alar cartilage.
Implications:
- Prompt surgical drainage of alar cartilage hematomas is crucial.
- Delayed treatment can lead to significant cosmetic deformities of the nose.
Abstract:
We present a previously undescribed site of a subperichondrial haematoma--the alar cartilage. Two children presenting acutely, following trauma, with the clinical appearance of a 'blueberry' within the nasal vestibule are described. We recommend early surgical drainage of this lesion, as delay in definitive treatment may give rise to a cosmetic deformity.