Always look for a nasal septal haematoma in cases of nasal trauma.  

  

Check out the papers mentioned.

Sanyaolu LN, Farmer SE, Cuddihy PJ. Nasal septal haematoma. BMJ. 2014 Nov 4;349:g6075. doi: 10.1136/bmj.g6075. PMID: 25370844.  https://pubmed.ncbi.nlm.nih.gov/25370844/ 

Ali HM, Zavala H, Chinnadurai S, Roby B. Nasal septal hematoma in children: Time to diagnosis and resulting complications. Int J Pediatr Otorhinolaryngol. 2021 Jun;145:110734. doi: 10.1016/j.ijporl.2021.110734. Epub 2021 Apr 26. PMID: 33930759.

https://pubmed.ncbi.nlm.nih.gov/33930759/

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