How do you drain a septal hematoma?
A septal hematoma must be urgently drained to avoid the development of complications. The doctor will generally diagnose a septal hematoma based on the patient’s medical history and physical examination. They may order tests such as computed tomography (CT) scan or magnetic resonance imaging (MRI) in cases where the diagnosis is not confirmed by examination.
Drainage of a septal hematoma is done by the doctor under local anesthesia. In children and apprehensive adults, the doctor may use general anesthesia (the patient sleeps during the procedure) for draining a septal hematoma.
During the procedure:
- The patient lies on the bed/operating table with their face upward.
- The head end of the bed/operating table is slightly raised. This allows the blood and other secretions to drain out from the septum easily.
- The doctor cleans the nasal area with antiseptics.
- They administer local/general anesthesia.
- The doctor uses a thin needle (18-20 gauge) to drain a small hematoma.
- If the hematoma is large, the doctor gives a small incision (surgical cut) over the softest part of the hematoma.
- The doctor uses suction to remove the clots from the nasal septum.
- The septum is then irrigated with a saline solution using a thin tube called a catheter.
- A small tubular structure called a drain is placed in the opened hematoma site and secured with sutures (stitches).
- The doctor then packs the nose with a sterile bandage doused in antibiotic ointment to prevent the re-accumulation of the blood.
After the procedure:
- Antibiotics and pain medications are administered.
- The nasal packing is kept as such and removed only when there is no further drainage for at least 24 hours.
- The patient may be asked to keep the head end of the bed elevated while lying down.