Nasal septal haematoma

Case contributed by MD Adrián Herrera Sánchez

Presentation

Facial trauma 2 weeks ago. Presents with nasal obstruction.

Patient Data

Age: 75 years
Gender: Female
CT

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.

Case Discussion

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.

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Case information

rID: 55486
Case created: 9th Sep 2017
Last edited: 21st Sep 2017
System: Head & Neck
Inclusion in quiz mode: Excluded
Institution: Private Medical Consultation

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