Wednesday, 28 February 2018

Nasal Alar Hematoma: An Uncommon Case Report

A male child 6 year old presenting acutely, following trauma, with the clinical appearance of a right nasal mass appearance like ‘blueberry’ within the right nasal vestibule since 7 days. We recommend early surgical drainage and excision of this lesion, as delay in definitive treatment may give rise to a cosmetic deformity.

The nose is one of the body regions that most frequently experience trauma. For this reason, it is also the area of the face that most frequently experiences fractures. Although the fracture of nasal bones, simple or complex, is not the only consequence that can accompany trauma. among the most important secondary effects of nasal trauma is vascular damage without drainage, which is complicated by the formation of a hematoma. Nasal hematomas are principally found at the nasal septal level and, if not treated adequately, can present severe complications. Very few cases of nasal hematomas affecting other areas of the nasal septum have been reported. Till date only 8 to 10 cases were found in literature in which the lesion was present at the level of the alar cartilage and nasal tip. We present a case of a hematoma of the nasal alar cartilage and nasal tip, which appeared following a slight nasal trauma due to fall on ground in 7 year old child. Emphasis should be placed on the importance of early diagnosis and treatment in this type of lesion to maximally prevent aesthetic complications and alterations.

A 6year old child sought medical consultation for right sided nasal mass and swelling over right side of nasal tip since 7days following history of fall on ground . Seven days following the history of fall patient experienced progressive swelling of the right nasal cavity and over tip of nose without evident bleeding. Parents of patient sought consultation after 7th day of the incident. We saw the patient with a serious nasal respiratory obstruction from right nasal cavity and there was swelling over tip of nose on right side and nasal mass in right nasal cavity. 

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