Septal Hematoma of Unknown Origin: Rare Case Report

Abstract

Introduction: Hematomas and septal abscesses are frequent complications of nasal trauma, and they can also appear in the post-surgical period of nasal surgeries, in nasal furunculosis and in dental infectious processes. They are uncommon in the pediatric population [1]. According to the literature, approximately 0.8% of trauma cases are complicated by a septal abscess and 1.6% by a septal hematoma. In many cases, no history of trauma is found [2]. Clinical case: The case of a 19-year-old patient is presented, with no significant pathological history, denies substance use, clinical picture of approximately 3 days that is characterized by facial pain on the left side of the face predominantly nasal, hyaline rhinorrhea, ventilatory insufficiency. Bilateral nasal passages, anosmia and unquantified temperature rises, without apparent cause, denied any history of nasal trauma. Discussion: in this particular case, the unusual location of necrotizing fasciitis in the anterior region of the neck is striking; it generally occurs in people with diabetes mellitus and immunocompromised people and in this case, it occurs without apparent cause. Conclusion: It is concluded that the need for rapid diagnosis and treatment in patients with nasal septal abscess should be emphasized to reduce the risk of infectious complications, permanent functional disorders and aesthetic deformities.