16/06/2026
After examination the Emergency Doctor made a diagnosis of bilateral septal haematoma. All patients with nasal trauma should be assessed for septal hematoma, epistaxis, open fractures, and cerebrospinal fluid leak. A nasal septal hematoma arises from the collection of blood in the potential subperichondrial space. The hematoma inhibits adequate perfusion and can lead to cartilage damage in as little as 24 hours and necrosis within 72 hours. If not promptly treated, patients may develop future cosmetic distortion, including saddle nose deformity or secondary infection.
Below is the demonstration of the drainage of septal haematoma.