Within 72 hours, the infection can form a septal abscess.Treating a septal hematoma requires it to be incised and drained to prevent avascular necrosis of the septal hyaline cartilage. This will depend on diffusion of nutrients from its attached nasal mucosa.The septum can generally heal within 1 week, without any evidence of the incision. The mucosa will appear healthy and smooth.Secondary infections can be prevented by starting the patient on an antibiotic regimen immediately after the procedure and continuing the treatment while the nasal packs are in place. If an abscess is present, a specimen of the abscess can be sent for culture to ensure that the antibiotics prescribed have provided adequate coverage. Culture-directed therapy can help avert dangerous late sequalae, including the intracranial extension of a septal abscess. If the hematoma is not promptly drained, the septal cartilage may be destroyed. In such cases, a saddle-nose deformity may develop. Prognosis
As long as the septal hematoma is treated promptly, a full recovery is common. If the condition is left untreated and develops complications such as fever, infection, or an abscess, then the nasal septal hematoma is still very treatable if seen by a doctor. If saddle nose is developed, surgery could be required. Epidemiology
Septal hematomas are rare but can effect everyone in every age group. There is no exact number  of the incidence that occur because a lot of the cases will remain undiagnosed.
Self-healing juvenile cutaneous mucinosis is a skin condition caused by fibroblasts producing abnormally large amounts of mucopolysaccharides, and is characterized by the sudden onset of skin lesions and polyarthritis. : 185

See also
Lichen myxedematosus
Skin lesion

References


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