Complications and sequelae after nasal trauma
Calderón, R.; Miralles, G.; Rodríguez Urcelay, P.; Berenguer, B.; González Meli, B.; Enríquez de Salamanca, J.; Cervera, J.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 20(2): 125-128
2007
ISSN/ISBN: 0214-1221 PMID: 17650726 Document Number: 605920
Septal haematoma after nasal trauma is a complication that can lead to septal abscess if unrecognized or early intervention is not performed. It can cause compression and thereby necrosis that evolve to a septal abscess in which cultures reveal saprophyte bacteria. Cartilage necrosis and destruction can produce impaired breathing and aesthetic deformities with collapse of the dorsum and the tip of the nose. We present a 10 year old masculine infant, that suffered a nasal fracture with a septal haematoma that remained undiagnosed. The patient developed a septal abscess that required drainage and resulted in nasal sequelae with collapse of dorsum and cranial displacement of tip and columella. Functional and aesthetic reconstruction was performed using rib cartilage grafts. No complications occurred. Functional and aesthetic improvement was observed. Result after 2 months of follow-up is considered favourable.