DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.102

Pages: 1295-1297

Nose is the most commonly injured facial structure. Most nasal injuries do not require immediate intervention, but trauma is resulting in septal hematoma is an exception. A nasal septal hematoma is a rare but serious complication of nasal or facial trauma. It refers to the collection of blood under the mucoperichondrial or mucoperiosteum of nasal septal cartilage or bone. It may be unilateral or bilateral, with the latter being more frequent in the setting of severe trauma. Rarely complicated with orbito-nasal cellulites, is the extremely urgent. we report a case of a boy with15-year-old presented with acute bilateral obstruction, 3 days ago complicated with febrile syndrome, right orbito-nasal tumefaction with chemosis and facial pain. CT in favor of orbito-nasal cellulitis and with hematoma collections of acute appearance on pan sinusitis. The drained to avoid the hematoma is the treatment.