3.Nasal Septal haematoma

Following trauma, blood can collect between the perichondrium and septal cartilage.  This presents with nasal obstruction, and the septum is seen to obstruct both nasal cavities. (Pic. 23) Palpation with a probe will show that it is boggy.

A septal haematoma needs drainage immediately, followed by packing, quilting or splinting to prevent re-accumulation.  Any delay in drainage will lead to the destruction of underlying cartilage leading to saddle nose deformity.