Nasal septal haematoma
Facial trauma 2 weeks ago. Presents with nasal obstruction.
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Findings are consistent with nasal septal haematoma. Note the presence of high-density material located in the fractured cartilaginous portion of the nasal septum which obstructs both nasal valves.
The Kiesselbach's area or Little's area is a region in the anteroinferior third of the nasal septum that contains the Kiesselbach's plexus.
The anterior portion of the nasal septum is composed of a cartilaginous plate with an adhered perichondrium and mucosa.
When the cartilage is fractured, blood can form bilateral haematomas collecting between the perichondrium and the septal cartilage.