Vega Malena, Bianchi Florencia, Cruz Daniel, Spini Roxana
Residencia de Otorrinolaringología Infantil. Hospital General de Niños "Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
División de Otorrinolaringología, Hospital General de Niños "Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Jun;119(3):e261-e263. doi: 10.5546/aap.2021.e261.
Hematomas and septal abscesses are an emergency in rhinology and require early surgical treatment due to the risk of infectious, functional, and aesthetic complications. They generally occur as a consequence of nasal trauma, although they have also been described in relation to other triggers. Accumulation of blood or pus between the mucoperichondrium and septal cartilage, causes avascular necrosis injury to the cartilage with cartilage destruction. Clinically it presents as nasal ventilatory insufficiency and facial pain. In a lower percentage, the reason for consultation was nasal dorsal deformity, epistaxis, purulent rhinorrhea and fever. We present two clinical cases with septal hematoma. Both required surgery.
血肿和鼻中隔脓肿是鼻科学中的急症,由于存在感染、功能和美学方面的并发症风险,需要早期手术治疗。它们通常是鼻外伤的结果,不过也有与其他诱因相关的报道。黏骨膜与鼻中隔软骨之间血液或脓液的积聚,会导致软骨的无血管坏死损伤及软骨破坏。临床上表现为鼻通气不足和面部疼痛。较少见的就诊原因是鼻背畸形、鼻出血、脓性鼻漏和发热。我们展示两例鼻中隔血肿的临床病例。两者均需手术治疗。