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Saturday, 20.04.2024, 16:05
Main » ENT Diseases » Hematoma, abscess, perforation of the nasal septum 
20:07
Hematoma, abscess, perforation of the nasal septum


Hematoma, abscess, perforation of the nasal septum

The cause of the nasal septum hematoma, usually a nose injury, at which there is bleeding between the cartilage or bone plate walls, on the one hand, and the perichondrium (periosteum) - on the other. In rare cases, the formation of hematoma in infectious diseases, especially viral diseases. Often the nasal septum hematoma occur in middle and older children.


Hematoma can be one-and two-sided. Usually it is localized in the cartilaginous part of the partitions, but can extend to the posterior parts. In unilateral or bilateral severe bruising slightly nasal breathing may remain relatively satisfactory, so patient, especially a child that is not paying attention. In such cases, the hematoma suppurate going to abscess of nasal septum. Pain in the hematoma and abscess of the nasal septum are absent or negligible, which explains the often later treatment of such patients to a doctor.

When the formed nasal septum abscess is very fast (within days) is involved in the suppurative process quadrangular cartilage septum. Emerged so hondroperihondrit usually leads to defects and deformatsimyam nasal septum and nasal. The danger of abscess of the nasal septum consists in the fact that spreads upward, an abscess may reach the roof of the nose and cause intracranial complications.

Perforation of the nasal septum is usually at its anteroinferior department in kisselbahova area partitions. The causes of perforation may be:
  • prior abscess of nasal septum
  • surgery to straighten her
  • injury
  • atrophic process
  • tertiary
  • tuberculous process.


Anterior wall a little protected from the influence of harmful environmental factors such as dust, dry, hot and cold air, trauma (including fingers). The resulting atrophic process is limited - a dry front rhinitis - particularly rapidly progressed with frequent stays in dusty industries (cement, chemicals, chromium, etc.). In the cartilaginous part of the nasal septum mucosa thins, becomes dry and covered with a crust, here comes the ulceration and perforation of the nasal septum.




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