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Alar Cartilage Hematoma: Case Report and Literature Review

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Abstract

Nasal hematomas can occur after nasal trauma. It can involve the septal, alar, or all levels, with the septum being the most commonly affected site. We present a case of alar hematoma in a five-year-old boy after nasal trauma. The patient came to the emergency room complaining of nasal pain, epistaxis, and nasal deformity. A complete ear, nose, and throat examination was performed, and X-ray and computed tomography imaging of the facial bone were done to confirm the presence of a nasal alar hematoma. The alar hematoma was successfully treated via surgical evacuation. Alar cartilage hematoma is a rare entity that can lead to undesirable complications when missed.

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References

  1. Kelley B, Downey C, Stal S (2010) Evaluation and reduction of nasal trauma. Semin Plast Surg 24(4):339–347. https://doi.org/10.1055/s-0030-1269763

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kopacheva-Barsova G, Arsova S (2016) The impact of the nasal trauma in childhood on the development of the nose in future. Open Access Mac J Med Sci 4(3):413–419. https://doi.org/10.3889/oamjms.2016.081

    Article  Google Scholar 

  3. Kühnel TS, Reichert TE (2015) Trauma of the midface. Laryngorhinootologie. https://doi.org/10.1055/s-0034-1396873

    Article  PubMed  Google Scholar 

  4. Kopacheva-Barsova G, Arsova S (2016) The impact of the nasal trauma in childhood on the development of the nose in future. Open Access Maced J Med Sci 4(3):41–49. https://doi.org/10.3889/oamjms.2016.081Hh

    Article  Google Scholar 

  5. Meehan T, Kaddour H, Lannigan FJ (1994) Alar cartilage haematoma. J Laryngol Otol 108(6):500–502. https://doi.org/10.1017/s0022215100127227

    Article  CAS  PubMed  Google Scholar 

  6. Green KMJ, Board T, Mason JDT (1999) Alar haematoma. J Laryngol Otol 113(12):1104–1105. https://doi.org/10.1017/s0022215100158013

    Article  CAS  PubMed  Google Scholar 

  7. Fry HJH (1969) The pathology and treatment of hematoma of the nasal septum. Br J Plast Surg 22(4):331–335. https://doi.org/10.1016/s0007-1226(69)80135-9

    Article  CAS  PubMed  Google Scholar 

  8. Sofokleous V, Papageorgiou K, Faliagka SA, Chrysovitsiotis G (2011) Subperichondrial haematomas of the nasal alar cartilage. BMJ Case Reports 14(1):e240150. https://doi.org/10.1136/bcr-2020-240150

    Article  Google Scholar 

  9. Pham TV, Lannigan FJ (2001) Haematoma of the alar cartilage. Aust J Otolaryngol 4:127–128

    Google Scholar 

  10. Álvarez H, Osorio J, De Diego JI, Prim MP, De LaTorre C, Gavilan J (2000) Sequelae after nasal septum injuries in children. Auris Nasus Larynx 27(4):339–342. https://doi.org/10.1016/s0385-8146(00)00071-7

    Article  PubMed  Google Scholar 

  11. Olsen KD, Carpenter RJ III, Kern EB (1980) Nasal septal injury in children. Arch Otolaryngol 106(6):317–320

    Article  CAS  PubMed  Google Scholar 

  12. Chukuezi AB (1992) Nasal septal haematoma in Nigeria. J Laryngol Otol 106(5):396–398

    Article  CAS  PubMed  Google Scholar 

  13. McCaskey CH (1951) Rhinogenic brain abscess. Laryngoscope 61(5):460–467

    Article  CAS  PubMed  Google Scholar 

  14. Eavey RD, Malekzakeh MM, Wright HT (1977) Bacterial meningitis secondary to abscess of nasal septum. Pediatrics 60(1):102–104

    Article  CAS  PubMed  Google Scholar 

  15. Fearon B, McKendry JB, Parker J (1961) Abscess of the nasal septum in children. Arch Otolaryngol 74:408–412

    Article  CAS  PubMed  Google Scholar 

  16. Fry HJH (1969) The pathology and treatment of the hematoma of the nasal septum. Br J Plast Surg 22:331–335

    Article  CAS  PubMed  Google Scholar 

  17. Cuddihy PJ, Srinivasan V (1998) An unusual presentation of a nasal septal abscess. J Laryngol Otol 112(8):775–776

    Article  CAS  PubMed  Google Scholar 

  18. Menger D, Tabink I, Nolst TG (2007) Treatment of septal hematomas and abscesses in children. Facial Plast Surg 23(4):239–243. https://doi.org/10.1055/s-2007-995816

    Article  CAS  PubMed  Google Scholar 

  19. Khajuria A, Osborne MS, McClleland L, Ghosh S (2019) Improving the quality of assessment and management of nasal trauma in a major trauma centre (MTC): Queen Elizabeth Hospital, Birmingham. BMJ Open Qual 8(4):e000632. https://doi.org/10.1136/bmjoq-2019000632

    Article  PubMed  PubMed Central  Google Scholar 

  20. Desrosiers AE, Thaller SR (2011) Pediatric nasal fractures. J Craniofac Surg 22(4):1327–1329. https://doi.org/10.1097/scs.0b013e31821c932d

    Article  PubMed  Google Scholar 

  21. Gupta G, Mahajan K (2021) Nasal septal hematoma. [Updated 2020 Aug 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470247/

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We would like to thank http://www.editage.com for English language editing.

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Correspondence to Zaki H. AlWatban.

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AlWatban, Z.H., Alhussaini, M.K., AlTuwaijri, A. et al. Alar Cartilage Hematoma: Case Report and Literature Review. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 1514–1517 (2022). https://doi.org/10.1007/s12070-021-02642-5

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