What is Septal Hematoma? | How is it Treated?

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What is Septal Hematoma? How is it Treated?
What is Septal Hematoma? Septal hematoma is a condition that occurs due to the accumulation of blood in the nasal septum (the cartilage and bone structure that separates the nostrils). It usually results from nasal trauma, surgical interventions, or certain medical conditions.
If not diagnosed early, it can lead to serious complications and cause permanent damage to the nasal structure. In this article, we will provide a detailed answer to the question, What is Septal Hematoma? by discussing its symptoms, causes, risk factors, and treatment methods.

What is Septal Hematoma?
What is Septal Hematoma? Septal hematoma is a swelling caused by blood collecting on both sides of the nasal septum. Normally, the nasal septum is nourished by fine blood vessels and has a firm structure.
However, when the nose sustains an impact or trauma, these vessels can be damaged, causing blood to leak into the internal part of the nasal septum, forming a hematoma. If left untreated, a septal hematoma can disrupt the nourishment of the cartilage, leading to complications such as septal perforation or nasal collapse.
What are the Symptoms of Septal Hematoma?
After answering What is Septal Hematoma?, it is important to discuss its symptoms. The most common symptoms of septal hematoma are:
- Nasal Congestion: As the septal hematoma enlarges inside the nose, the airway narrows, making breathing difficult.
- Pain and Tenderness: A sensation of pressure and tenderness occurs inside the nose.
- Swelling: A visible swelling in the nasal septum due to the septal hematoma.
- Nosebleeds: Nosebleeds occurring especially after trauma can be a symptom of septal hematoma.
- Loss of Smell: Blockage of the septum due to septal hematoma can lead to a reduction in the sense of smell.
- Signs of Infection: If left untreated, a septal hematoma may become infected, leading to additional symptoms such as fever and severe pain.

What are the Causes of Septal Hematoma?
Understanding What is Septal Hematoma? also involves knowing its causes. The primary factors that can lead to a septal hematoma include:
- Nasal Trauma: Falls, blows, and sports injuries can cause the formation of a septal hematoma.
- Nasal Surgeries: Procedures such as rhinoplasty or septoplasty may result in septal hematoma.
- Bleeding Disorders: Conditions that prevent blood clotting (such as hemophilia) or the use of blood thinners increase the risk of septal hematoma.
- Infections: Some nasal infections, such as sinusitis, may rarely lead to septal hematoma.
What are the Risk Factors for Septal Hematoma?
Examining What is Septal Hematoma? reveals that some individuals are at a higher risk of developing it. These risk factors include:
- Athletes: People engaged in contact sports such as football, boxing, or basketball have a higher risk of septal hematoma.
- Individuals with Bleeding Disorders: Those with hemophilia or clotting issues are more prone to developing septal hematoma.
- People Undergoing Nasal Surgery: Individuals who have had procedures like septoplasty or rhinoplasty are at risk of developing septal hematoma.
- Children: Due to the likelihood of nasal trauma from falls and play, children are more susceptible to septal hematoma.

How is Septal Hematoma Treated?
After addressing What is Septal Hematoma?, it is crucial to understand its treatment. Early intervention is essential in treating septal hematoma. The treatment methods include:
- Drainage Procedure: The most common treatment involves draining the septal hematoma by a medical professional. A small incision is made under local anesthesia to allow blood drainage.
- Use of Antibiotics: To prevent the risk of infection, antibiotics may be prescribed as part of the septal hematoma treatment.
- Tampon Placement: After the septal hematoma is drained, a nasal tampon is inserted to control bleeding.
- Surgical Intervention: In cases of large or recurrent septal hematomas, surgical treatment may be necessary.
What are the Complications After Septal Hematoma Surgery?
After discussing What is Septal Hematoma?, we should examine the potential complications following surgery. These include:
- Septal Perforation: Late diagnosis or improper intervention can lead to a hole in the septum.
- Nasal Collapse (Saddle Nose Deformity): If the cartilage loses its nourishment due to septal hematoma, the shape of the nose may collapse.
- Recurring Septal Hematoma: If the underlying cause is not addressed, septal hematoma may recur.
- Infection and Abscess Formation: Untreated septal hematomas can become infected, turning into an abscess.
In this article, we have provided an in-depth answer to What is Septal Hematoma? and explored its potential complications. Septal hematoma is a condition that can lead to severe complications but can be prevented with early diagnosis and proper treatment.
If symptoms appear after nasal trauma, it is crucial to consult a specialist immediately. Understanding What is Septal Hematoma? helps individuals take necessary precautions to maintain their nasal health.
Septal Hematoma Frequently Asked Auestions (FAQ)
Septal hematoma is a condition where blood collects between the cartilage and the mucosal lining of the nasal septum, usually due to trauma or surgery.
The most common causes include nasal trauma (such as falls, sports injuries, or accidents), nasal surgeries like rhinoplasty or septoplasty, bleeding disorders, and infections.
Symptoms may include nasal congestion, pain and tenderness, swelling in the septum, nosebleeds, difficulty breathing, loss of smell, and potential signs of infection like fever.
A healthcare provider diagnoses septal hematoma through a physical examination and sometimes with imaging tests like nasal endoscopy.
Treatment typically involves drainage of the accumulated blood, antibiotic therapy to prevent infection, and nasal packing to prevent recurrence. Severe cases may require surgery.