Cervera Escario Javier, Calderón Nájera Ramón, Enríquez de Salamanca Javier, Bartolomé Benito Margarita
Servicio de Otorrinolaringología, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Acta Otorrinolaringol Esp. 2008 Mar;59(3):139-41.
Septal haematoma following nasal trauma is a complication that, if not diagnosed and treated early, may evolve into a nasal septal abscess. We present the case of a 10-year-old male who suffered nasal trauma with fracture and an undiagnosed septal haematoma that evolved into a septal abscess. During drainage of the abscess, necrosis of the quadrangular cartilage was noted. The patient later presented collapse of the nasal dorsum and deviation of the nasal septum. This sequela was corrected by means of an osteochondral costal graft. In the presence of any nasal trauma, it is important to explore the nasal septum correctly to discard the presence of a haematoma which, if not drained early, may evolve into an abscess due to compression of the quadrangular cartilage, leading to its necrosis in a few days and later collapse of the nasal dorsum as the child grows.
鼻外伤后鼻中隔血肿是一种并发症，如果不及早诊断和治疗，可能会演变成鼻中隔脓肿。我们报告一例10岁男性病例，该患者遭受鼻外伤并伴有骨折，鼻中隔血肿未被诊断出来，进而演变成了鼻中隔脓肿。在脓肿引流过程中，发现四角软骨坏死。患者后来出现鼻背塌陷和鼻中隔偏曲。通过肋软骨移植术矫正了这一后遗症。在发生任何鼻外伤时，正确探查鼻中隔以排除血肿的存在非常重要，因为血肿如果不及早引流，可能会因四角软骨受压而演变成脓肿，导致其在数天内坏死，随后随着患儿成长出现鼻背塌陷。
