Bruise or bleeding in the septum, which separates the two nostrils, is called which?

• A. Nasal polyp
• B. Epistaxis
• C. Nasal fracture
• D. Septal hematoma

Answer: (D)

A septal hematoma is a collection of blood between the nasal septum’s cartilage and its mucous membrane. After trauma, blood can pool in the potential space behind the septum, causing a bruise-like swelling. This differs from a simple nosebleed, which is bleeding from the nasal mucosa rather than a discrete blood collection behind the cartilage. It also isn’t a nasal polyp (a benign growth) or a nasal fracture (a break in the bone/cartilage). Because a septal hematoma can cut off blood supply to the septal cartilage and lead to cartilage necrosis or a saddle nose if untreated, it’s important to diagnose and drain promptly.