Nasal septal hematoma and abscess

Introduction

Introduction to nasal septum hematoma and abscess Nasal septum hematoma refers to the subperitoneal subperiosteal or subperiosteal hemorrhage, mostly bilateral. Nasal septum abscess, is the nasal septal perichondrium or subperiosteal empyema, the latter is caused by secondary infection of the former. Nasal septum hematoma is formed by hemorrhage of local vascular injury after nasal trauma or nasal septum fracture. Nasal septum correction and submucosal cuts of the nasal septum can also be complicated by nasal septum hematoma. Spontaneous hematoma caused by non-trauma or surgery is rare. Those with smaller septal hematoma were treated with puncture to extract blood. The larger one must be an L-shaped incision at the lowest point of the hematoma under topical anesthesia to exclude blood stasis or blood clots; if it occurs after the nasal septum surgery, reopen the original incision debridement. Exclude blood stasis or blood clots, tightly block the bilateral nasal cavity with sterile Vaseline gauze, and apply antibiotics to prevent infection. Nasal septum abscess should be cut open early, if there is necrotic cartilage should be removed, systemic application of antibiotics to control infection. Excessive cartilage necrosis of the nasal septum, left nasal column collapse or saddle nose, plastic surgery is feasible in the future. basic knowledge The proportion of sickness: 0.01% - 0.04% Susceptible people: no specific people Mode of infection: non-infectious Complications: nasal septum perforation

Cause

Nasal septum hematoma and cause of abscess

Septal hematoma

Local vascular injury is formed after nasal trauma or nasal septum fracture. Nasal septum correction and submucosal cuts of the nasal septum can also be complicated by nasal septum hematoma. Spontaneous hematoma caused by non-trauma or surgery is rare.

Septal abscess

Mostly caused by secondary infection of the septum hematoma. A small number of edema, acute sinusitis, flu, scarlet fever and typhoid can be secondary to adjacent tissues. Nasal septum abscess can also occur in newborns and young children.

Prevention

Nasal septum hematoma and abscess prevention

1. Change the habit of casually digging your nose.

2, for the nasal septum hematoma, nasal septum ulcer and other diseases, need careful treatment, can not delay delay.

Complication

Nasal septum hematoma and abscess complications Complications, nasal septum perforation

The septal hematoma may be completely absorbed, or may be fibrotic to thicken the nasal septum, or may be purulent to form an abscess. Some may cause necrosis of the septal cartilage due to insufficient blood supply, thus forming a nasal septum perforation or saddle nose. Nasal trauma, such as when the nose is hit or fall, the nose touches the ground, so a nasal bone fracture, ethmoid or vomer fracture, or dislocation of the septal cartilage often occurs. More common in children or adolescents.

Symptom

Nasal septum hematoma and abscess symptoms Common symptoms Nasal nasal external expansion bulge forehead headache Sinus tenderness

Septal hematoma

There are many bilateral nasal congestion, forehead headache and pressure on the bridge of the nose. It can be seen that there are symmetrical semicircular ridges on both sides of the nasal septum. The color of the mucosa is dark red or normal, and the touch is soft and fluctuating.

Septal abscess

There are bilateral nasal congestion, frontal headache and nasal pressure compression, with systemic and local acute inflammation, such as chills, fever, nose and nose and redness and heat pain. Examination showed bilateral symmetrical bulging of the nasal septum, the color of the mucous membrane was dark red, and the touch was soft and fluctuating.

Examine

Examination of nasal septum hematoma and abscess

The nasal septum has a semi-circular bulge, the mucosa is as usual or slightly red, and the touch is elastic. The puncture can extract blood. Hematoma can be caused by infection of the nasal septum abscess, local redness and pain, nose tenderness is obvious, nasal puncture can extract pus. After the formation of abscess, there may be systemic and local acute inflammation manifestations such as chills and fever.

Diagnosis

Diagnosis and differentiation of septal hematoma and abscess

diagnosis

Combined with the history of trauma or nasal septum surgery, clinical manifestations, nasal septum bulge, no response to vasoconstrictor and puncture results, etc. (the hemorrhage is taken out of the blood, and the abscess is extracted from the pus), the diagnosis can be confirmed.

Differential diagnosis

No need to identify.

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