Treatment hematoma of nasal septum

A septal hematoma is blood that collects in the space between the septal cartilage and the overlying perichondrium. A hematoma may deprive the septal cartilage of its blood supply from the overlying mucosa and thus may lead to permanent sequelae. Consequently, all patients with nasal trauma should be promptly evaluated for septal swelling. If a septal hematoma is present, the hematoma should be incised, drained, and packed to prevent recurrence. Prompt treatment of septal hematomas should prevent complications such as ischemia of the septal cartilage, which can lead to permanent necrosis and a saddle-nose deformity. Such complications can occur rapidly, within as few as 3 days