Asian Journal of Case Reports in Surgery

A Case Report on Spontaneous Bilateral Nasal Septal Hematoma in a Child

Bushra Abdulhakeem

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Chaimaa Rsaissi *

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Myriam Louadghiri

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Walid Bijou

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Youssef Oukessou

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Sami Rouadi

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Reda Abada

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Mohamed Roubal

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

Mohamed Mahtar

ENT Head and Neck Surgery Department, Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Hassan II University, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Nasal septal hematoma (NSH) is a relatively rare emergency in otolaryngology. The disease is more common in children due to softer cartilage and looser anchoring of the mucoperichondrial. Trauma to the nose or face is the most common cause, while NSH following a cold has been rarely reported. Urgent treatment is required to prevent serious complications such as saddle nose deformity, nasal tip deepening, abscess formation, and subsequent intracranial sequelae such as cavernous sinus thrombosis. We present the case of a 4-year-old child diagnosed with a spontaneous bilateral NSH.

Keywords: Septal hematoma, spontaneous, child

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