What is a consequence of not treating a septal hematoma?

• A. Chronic sinusitis
• B. Saddle nose deformity
• C. Nasal obstruction
• D. Facial asymmetry

Answer: (B)

Not treating a septal hematoma can lead to a saddle nose deformity, which is a serious consequence that arises from the complications associated with untreated hematomas in the nasal septum. A septal hematoma occurs when blood collects between the perichondrium (the tissue that covers the cartilage) and the cartilage itself, often following trauma to the nose. If this condition is left untreated, the accumulated blood can compromise the blood supply to the nasal septum, ultimately resulting in necrosis (death) of the cartilage. This necrotic tissue can cause collapse or depression of the nasal bridge, leading to the characteristic saddling of the nose.

This deformity not only affects the aesthetics of the face but can also contribute to functional impairments such as nasal obstruction. While chronic sinusitis, nasal obstruction, and facial asymmetry are potential concerns related to nasal injuries, they do not directly stem from the complications specifically linked to an untreated septal hematoma in the same definitive manner as saddle nose deformity does. Thus, saddle nose deformity is identified as a direct and significant outcome of neglecting treatment for a septal hematoma.