ENT: Nasal Septal Haematoma: Free MSRA Podcast

🎧 FREE MSRA PODCAST – Nasal Septal Haematoma🩺 A quick but critical ENT condition that can cause permanent nasal deformity if missed. Perfect for MSRA revision or clinical refreshers.🧠 Key Learning Points📌 Definition• A nasal septal haematoma is a collection of blood between the septal cartilage and its overlying perichondrium• Most often caused by trauma to the nose• This is an ENT emergency📌 Causes & Risk Factors• Trauma (e.g. punch, sports injury) – most common• Post-operative (e.g. septoplasty)• Nasal foreign bodies• Anticoagulant use or bleeding disorders• Coagulopathies🧠 Mnemonic: "TRAUMA"(Trauma, Rhinoplasty, Anticoagulants, Unknown bleed disorders, Minor injuries, Accident)📌 Pathophysiology• The perichondrium supplies the nasal cartilage• Blood collects between the perichondrium and cartilage → lifts it off → cuts off blood supply• Without drainage, cartilage dies (necrosis) within 3–4 days📌 Symptoms• Nasal obstruction (often bilateral)• Pain or discomfort• Visible boggy swelling of the septum (soft, fluctuant)• May follow even minor trauma• Possibly epistaxis or rhinorrhoea📌 Examination Finding✅ Septal swelling that is boggy to touch🔴 Don’t confuse with deviated septum (firm)🧠 Boggy = Blood📌 Differential Diagnosis• Deviated nasal septum• Septal abscess• Nasal polyps (usually pale & mobile)• Foreign bodies• Nasal fractures• Nasal tumours (less likely in acute setting)📌 Diagnosis• Clinical diagnosis – based on history + exam• Use otoscope or nasal speculum• Consider nasal endoscopy if extent unclear• CT scan only if fracture or surgical planning needed📌 Management🚨 ENT Emergency – Must be treated within 3–4 daysIncision & Drainage (I&D)Nasal packing/bolster to prevent reaccumulationIV antibiotics – prevent infection/abscess⚠️ Delay = necrosis = lifelong deformity📌 Complications if Missed• Septal cartilage necrosis• Saddle nose deformity – collapse of nasal bridge• Septal perforation• Chronic nasal obstruction• Septal abscess• Sinusitis📌 Prognosis• Excellent if diagnosed early and managed quickly• Catastrophic if delayed – irreversible cartilage death📎 More MSRA Resources on Nasal Septal Haematoma📝 Revision Notes:https://www.passthemsra.com/topic/nasal-septal-haematoma-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/nasal-septal-haematoma-flashcards/💬 Accordion Q&A Notes:https://www.passthemsra.com/topic/nasal-septal-haematoma-accordion-qa-notes/🚀 Rapid Quiz:https://www.passthemsra.com/topic/nasal-septal-haematoma-rapid-quiz/🎓 Full ENT Course:https://www.passthemsra.com/courses/ent-for-the-msra/🧪 Quiz Access:https://www.passthemsra.com/quizzes/nasal-septal-haematoma/🎯 Final ReminderIf you see trauma + blocked nose + boggy septal swelling → think nasal septal haematoma.Act fast. Drain it. Prevent deformity.🔖 Hashtags#MSRA #MSRARevision #MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQANotes #MSRAAccordions #MultiSpecialityRecruitmentAssessment #MSRAOnlineRevision #MSRARevisionWebsite #ENT #NasalSeptalHaematoma