{"id":2291,"date":"2025-12-23T16:01:17","date_gmt":"2025-12-23T13:01:17","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/?post_type=diseases_post&#038;p=2291"},"modified":"2025-12-23T16:01:20","modified_gmt":"2025-12-23T13:01:20","slug":"maladies-post-traumatiques-du-septum-nasal","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/oto-rhino-laryngologie\/maladies-post-traumatiques-du-septum-nasal\/","title":{"rendered":"Maladies post-traumatiques du septum nasal : diagnostic et traitement des h\u00e9matomes, abc\u00e8s et perforations"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>Le septum nasal est une plaque osseuse cartilagineuse qui divise la cavit\u00e9 nasale en deux moiti\u00e9s. Ses modifications pathologiques, telles que les h\u00e9matomes, les abc\u00e8s ou les perforations de la communication nasale, sont des complications graves de traumatismes ou d\u2019infections. Ces affections n\u00e9cessitent un diagnostic rapide, car elles peuvent conduire \u00e0 des cons\u00e9quences graves, notamment une d\u00e9formation nasale irr\u00e9versible.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-des-affections-du-septum-nasal\"><strong>Classification des affections du septum nasal<\/strong><\/h2>\n<p>En oto-rhino-laryngologie, on distingue trois grands groupes de pathologies de communication post-traumatiques\u00a0:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>H\u00e9matomes de la communication nasale<\/strong> :\n<ul class=\"wp-block-list\">\n<li>H\u00e9matome unilat\u00e9ral ;<\/li>\n<li>H\u00e9matome bilat\u00e9ral.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Abc\u00e8s de la communication nasale<\/strong> :\n<ul class=\"wp-block-list\">\n<li>Unilat\u00e9ral ;<\/li>\n<li>Bilat\u00e9ral.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Perforation de la communication nasale<\/strong>.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\" id=\"etiologie\"><strong>\u00c9tiologie<\/strong><\/h2>\n<p>Dans la plupart des cas, la cause commune des pathologies susmentionn\u00e9es est un dommage m\u00e9canique, tel qu\u2019une blessure domestique, une chute ou un accident de la route.<\/p>\n<p>Dans de rares cas, la cause est une intervention chirurgicale dans la cavit\u00e9 nasale. Ces affections peuvent \u00eatre caus\u00e9es par des infections chroniques lentes ou des maladies auto-immunes dans la cavit\u00e9 nasale, pour lesquelles les patients ne consultent pas d\u2019oto-rhino-laryngologiste pendant longtemps.<\/p>\n<h3 class=\"wp-block-heading\" id=\"causes-des-hematomes-et-des-abces\"><strong>Causes des h\u00e9matomes et des abc\u00e8s<\/strong><\/h3>\n<p>Les h\u00e9matomes de la communication nasale peuvent r\u00e9sulter d\u2019un traumatisme contondant ou d\u2019une infection virale. Les signes en sont une hyper\u00e9mie et une fragilit\u00e9 accrue des vaisseaux de la muqueuse, qui contribuent \u00e0 des h\u00e9morragies spontan\u00e9es.<\/p>\n<p>Les abc\u00e8s nasaux sont le plus souvent la cons\u00e9quence de la suppuration d\u2019un h\u00e9matome. Ils peuvent \u00e9galement se former\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>Par transfert d\u2019une infection de la peau (gonflement ou furoncle nasal)\u202f;<\/li>\n<li>Lorsqu\u2019une infection se propage \u00e0 partir de la cavit\u00e9 orale pendant le processus de formation des caries.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"causes-de-perforation\"><strong>Causes de perforation<\/strong><\/h3>\n<p>Une perforation de la communication nasale se d\u00e9veloppe en raison de\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>Traumatismes et br\u00fblures (chimiques, thermiques)\u202f;<\/li>\n<li>Interventions chirurgicales ;<\/li>\n<li>Processus atrophiques, maladies auto-immunes et infectieuses\u202f;<\/li>\n<li>Abc\u00e8s du septum (fonte purulente des tissus)\u202f;<\/li>\n<li>Utilisation prolong\u00e9e de m\u00e9dicaments intranasaux ou de stup\u00e9fiants\u202f;<\/li>\n<li>Traumatisme chronique (\u00ab\u00a0se curer le nez\u00a0\u00bb).<\/li>\n<\/ul>\n<p>Des perforations idiopathiques, c\u2019est-\u00e0-dire dont la cause exacte ne peut \u00eatre \u00e9tablie, peuvent \u00e9galement survenir. <\/p>\n<h2 class=\"wp-block-heading\" id=\"pathogenese-et-changements-anatomiques\"><strong>Pathogen\u00e8se et changements anatomiques<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"hematome\"><strong>H\u00e9matome<\/strong><\/h3>\n<p>Un h\u00e9matome est une accumulation de sang entre le cartilage et la couche au-dessus du cartilage. Il se produit dans les 24 heures suivant une blessure. Dans la cavit\u00e9 nasale du c\u00f4t\u00e9 de la l\u00e9sion, on peut observer un renflement fluctuant et tendu de la muqueuse, de couleur cyanos\u00e9e (gris bleu\u00e2tre).<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-diseases-nasal-septum\/nasal-septal-hematoma.webp\" alt=\"H\u00e9matome de la communication nasale droite (une partie de la muqueuse a \u00e9t\u00e9 retir\u00e9e)\"><figcaption class=\"wp-element-caption\">H\u00e9matome de la communication nasale droite (une partie de la muqueuse a \u00e9t\u00e9 retir\u00e9e) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/8066b69f-0c3f-4c7c-960f-70699a27ff6c\/741e2d9f-1de1-42bd-89ad-c17d67432e19\/99491c04-c193-4f42-a5d4-c9f2343ada69\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p>L\u2019h\u00e9matome peut toucher la partie cartilagineuse ou s\u2019\u00e9tendre \u00e0 la partie osseuse post\u00e9rieure, bien que cela soit extr\u00eamement rare. Il est \u00e9galement courant de rencontrer une l\u00e9sion bilat\u00e9rale, dans laquelle le sang s\u2019accumule des deux c\u00f4t\u00e9s.<\/p>\n<h3 class=\"wp-block-heading\" id=\"abces\"><strong>Abc\u00e8s<\/strong><\/h3>\n<p>Un abc\u00e8s de la communication nasale est une accumulation de contenu purulent sous la muqueuse, le plus souvent dans la zone du cartilage de communication. Il survient comme complication d\u2019un h\u00e9matome nasal non drain\u00e9 ou apr\u00e8s un traumatisme et des interventions intranasales.<\/p>\n<p>En l\u2019absence de traitement, l\u2019inflammation purulente s\u2019\u00e9tend plus profond\u00e9ment. Le cartilage, priv\u00e9 de nutrition et dans un environnement purulent, se d\u00e9grade rapidement par chondrolyse. Les complications de cette affection comprennent le d\u00e9veloppement d\u2019une perforation de la communication nasale, la d\u00e9formation de l\u2019arri\u00e8re du nez (sa d\u00e9pression) et la propagation de l\u2019inflammation \u00e0 la zone p\u00e9riorbitaire et aux structures intrac\u00e9r\u00e9brales.<\/p>\n<h3 class=\"wp-block-heading\" id=\"perforation\"><strong>Perforation<\/strong><\/h3>\n<p>Lorsque le septum nasal est perfor\u00e9, les parties ant\u00e9rieures de la zone du cartilage de communication et du plexus de Kiesselbach sont touch\u00e9es. Au niveau du site d\u2019ulc\u00e9ration de la muqueuse, une perforation se forme dans la zone du cartilage, dont la taille augmente avec le temps. Des granulations peuvent se former le long des bords de la perforation. <\/p>\n<p>L\u2019apparition de la perforation modifie le flux d\u2019air laminaire naturel en un flux d\u2019air turbulent. Cela entra\u00eene un ass\u00e8chement de la muqueuse, la formation de cro\u00fbtes et une alt\u00e9ration de la ventilation de la cavit\u00e9 nasale et des sinus paranasaux.<\/p>\n<p>Les perforations sont class\u00e9es en fonction de leur taille. La taille de la perforation influe sur la tactique th\u00e9rapeutique et le pronostic. <\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Type de perforation<\/strong><\/th>\n<th class=\"has-text-align-center\" data-align=\"center\"><strong>Taille de la perforation (diam\u00e8tre)<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Petites perforations<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">jusqu\u2019\u00e0 0,5\u2009cm<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Perforations moyennes<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">de 0,5 \u00e0 2\u2009cm<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\"><strong>Grandes perforations<\/strong><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>2\u2009cm<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h2 class=\"wp-block-heading\" id=\"presentation-clinique\"><strong>Pr\u00e9sentation clinique<\/strong><\/h2>\n<p>Les sympt\u00f4mes d\u00e9pendent du type de pathologie et du stade du processus.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>L\u2019h\u00e9matome est une masse mod\u00e9r\u00e9ment douloureuse ou indolore<\/strong>. Lorsqu\u2019il est petit, la respiration nasale reste inchang\u00e9e et l\u2019affection passe inaper\u00e7ue. Le contenu peut se d\u00e9grader de lui-m\u00eame. Cependant, sans traitement appropri\u00e9, l\u2019h\u00e9matome s\u2019infecte souvent et d\u00e9veloppe un abc\u00e8s de la communication nasale dans un tableau clinique clair. En cas d\u2019h\u00e9matomes bilat\u00e9raux ou volumineux, la respiration nasale devient difficile.<\/li>\n<li><strong>Un abc\u00e8s de la communication nasale pr\u00e9sente des sympt\u00f4mes distincts<\/strong>\u2009:\n<ul class=\"wp-block-list\">\n<li>Plaintes de douleur nasale marqu\u00e9e\u202f;<\/li>\n<li>Difficult\u00e9 \u00e0 respirer par le nez du c\u00f4t\u00e9 de la l\u00e9sion\u202f;<\/li>\n<li>Frissons, faiblesse, maux de t\u00eate et augmentation de la temp\u00e9rature corporelle.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Une perforation<\/strong><strong> se forme par atrophie<\/strong>\u2009:\n<ul class=\"wp-block-list\">\n<li>S\u00e9cheresse de la cavit\u00e9 nasale avec formation de cro\u00fbtes\u202f;<\/li>\n<li>Diminution de l\u2019odorat ;<\/li>\n<li>Saignements de nez r\u00e9currents\u202f;<\/li>\n<li>Sifflement possible dans le nez lors de la respiration (lorsque la l\u00e9sion est de petite taille).<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\" id=\"diagnostic\"><strong>Diagnostic<\/strong><\/h2>\n<p>Une anamn\u00e8se approfondie et un examen de routine par rhinoscopie ant\u00e9rieure suffisent pour clarifier le diagnostic dans ce groupe de maladies.<\/p>\n<ul class=\"wp-block-list\">\n<li>Si n\u00e9cessaire, une endoscopie de la cavit\u00e9 nasale est r\u00e9alis\u00e9e.<\/li>\n<li>Pour \u00e9valuer l\u2019\u00e9tat des structures osseuses et exclure des complications intracr\u00e2niennes, un scanner facial peut \u00eatre r\u00e9alis\u00e9.<\/li>\n<li>En cas de pr\u00e9sence d\u2019h\u00e9matomes et d\u2019abc\u00e8s, une ponction diagnostique et th\u00e9rapeutique peut \u00eatre effectu\u00e9e. Le pr\u00e9l\u00e8vement de sang confirme le diagnostic d\u2019h\u00e9matome de la communication nasale, tandis que le pr\u00e9l\u00e8vement de pus indique un abc\u00e8s de la communication nasale.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"traitement-des-affections-de-la-communication-nasale\"><strong>Traitement des affections de la communication nasale<\/strong><\/h2>\n<p>Les strat\u00e9gies th\u00e9rapeutiques sont d\u00e9termin\u00e9es par le type de processus pathologique et visent \u00e0 \u00e9vacuer le contenu, \u00e0 pr\u00e9venir les complications purulentes et \u00e0 restaurer l\u2019int\u00e9grit\u00e9 des structures nasales.<\/p>\n<h3 class=\"wp-block-heading\" id=\"traitement-des-hematomes-de-la-communication-nasale\"><strong>Traitement des h\u00e9matomes de la communication nasale<\/strong><\/h3>\n<p>L\u2019h\u00e9matome de la communication nasale est ponctionn\u00e9 \u00e0 l\u2019aide d\u2019une aiguille afin d\u2019aspirer son contenu, puis un tamponnement ant\u00e9rieur serr\u00e9 est effectu\u00e9 afin de fixer et de greffer la muqueuse aux structures sous-jacentes. Lorsque cela est indiqu\u00e9, un traitement antibact\u00e9rien oral est prescrit et des solutions antiseptiques sont appliqu\u00e9es sur le tamponnement nasal afin de pr\u00e9venir les complications purulentes.<\/p>\n<h3 class=\"wp-block-heading\" id=\"traitement-des-abces-de-la-communication-nasale\"><strong>Traitement des abc\u00e8s de la communication nasale<\/strong><\/h3>\n<p>Dans le cas d\u2019abc\u00e8s de la communication nasale, seul un traitement chirurgical est utilis\u00e9. Une large incision de la muqueuse est pratiqu\u00e9e \u00e0 l\u2019endroit o\u00f9 le gonflement est le plus important, et le contenu pathologique est retir\u00e9.<\/p>\n<ul class=\"wp-block-list\">\n<li>La cavit\u00e9 ainsi cr\u00e9\u00e9e est lav\u00e9e avec des solutions antiseptiques, un drainage est mis en place, puis la cavit\u00e9 nasale est tamponn\u00e9e.<\/li>\n<li>Un traitement antibact\u00e9rien oral est prescrit en fonction de la sensibilit\u00e9 du patient. Des pansements r\u00e9guliers avec changement de drainage sont effectu\u00e9s.<\/li>\n<li>En cas d\u2019abc\u00e8s bilat\u00e9raux, l\u2019incision de la muqueuse doit \u00eatre pratiqu\u00e9e des deux c\u00f4t\u00e9s, mais pas sym\u00e9triquement, afin d\u2019\u00e9viter la formation d\u2019une perforation de la communication nasale. <\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"traitement-des-perforations-de-la-communication-nasale\"><strong>Traitement des perforations de la communication nasale<\/strong><\/h3>\n<p>La fermeture d\u2019une perforation de la communication nasale est actuellement une t\u00e2che difficile pour les chirurgiens du nez. Pour obtenir le meilleur effet, la premi\u00e8re chose \u00e0 faire est d\u2019identifier la cause de la perforation et d\u2019essayer de l\u2019\u00e9liminer ou de la minimiser.<\/p>\n<p><strong>1. Traitement non chirurgical<\/strong><strong><br \/><\/strong><\/p>\n<p>Afin de r\u00e9duire les manifestations cliniques, il est recommand\u00e9 d\u2019humidifier r\u00e9guli\u00e8rement la cavit\u00e9 nasale avec des solutions salines et d\u2019adoucir les cro\u00fbtes \u00e0 l\u2019aide de pr\u00e9parations \u00e0 base de pommade. Cela emp\u00eache seulement la perforation d\u2019augmenter en taille. Cela ne la referme pas. Des implants en silicone sont \u00e9galement plac\u00e9s au niveau du site de perforation. Cependant, ils contribuent parfois \u00e0 augmenter sa taille.<\/p>\n<p><strong>2. Traitement chirurgical<\/strong><strong><br \/><\/strong><\/p>\n<p>La rhinoplastie<strong><\/strong>de la perforation de la communication nasale est r\u00e9alis\u00e9e \u00e0 l\u2019aide de cartilage autologue et de muqueuse sur un p\u00e9dicule vasculaire. Les tissus sont ensuite fix\u00e9s \u00e0 l\u2019aide de protections nasales jusqu\u2019\u00e0 la cicatrisation. <\/p>\n<p>Cependant, m\u00eame avec une correction chirurgicale, il est aujourd\u2019hui rarement possible d\u2019\u00e9liminer compl\u00e8tement le d\u00e9faut. Dans certains cas, les interventions chirurgicales peuvent m\u00eame contribuer \u00e0 agrandir la perforation. <\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Pourquoi le septum nasal est-il douloureux\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La douleur est le plus souvent caus\u00e9e par des processus inflammatoires, tels qu\u2019un h\u00e9matome infect\u00e9 ou un abc\u00e8s se d\u00e9veloppant dans le septum nasal. Une douleur qui s\u2019intensifie lorsque l\u2019on appuie sur le bout du nez est un sympt\u00f4me alarmant qui n\u00e9cessite une consultation chez un ORL.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quelle est la diff\u00e9rence entre un h\u00e9matome et un abc\u00e8s de la communication nasale\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Un h\u00e9matome est une accumulation de sang entre la muqueuse et le cartilage de la communication nasale qui survient apr\u00e8s un traumatisme. Un abc\u00e8s est une accumulation de pus, \u00e9galement entre le cartilage de la communication nasale et la muqueuse. Avec le temps, le cartilage peut se d\u00e9grader. Un abc\u00e8s est beaucoup plus s\u00e9v\u00e8re et peut provoquer une forte fi\u00e8vre et une douleur intense.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quel est le danger d\u2019une perforation du septum nasal\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Outre l\u2019inconfort (tel qu\u2019un sifflement lors de la respiration et une formation de cro\u00fbtes), elle perturbe l\u2019a\u00e9rodynamique du nez, entra\u00eenant une sinusite chronique et une rhinite atrophique. Lorsqu\u2019un volume important de cartilage est d\u00e9truit, une d\u00e9formation nasale (nez en selle) est possible.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Une perforation affecte-t-elle la forme du nez\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les petites perforations n\u2019affectent g\u00e9n\u00e9ralement pas la forme. Cependant, les perforations importantes (en particulier apr\u00e8s un abc\u00e8s) privent l\u2019arri\u00e8re du nez de son soutien, ce qui peut entra\u00eener un \u00ab\u00a0affaissement\u00a0\u00bb du nez et lui donner une forme en selle.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Une perforation du septum nasal peut-elle gu\u00e9rir\u202f?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Une perforation du septum nasal ne gu\u00e9rit pas d\u2019elle-m\u00eame. Le tissu cartilagineux n\u2019est pas bien irrigu\u00e9 par le sang et ne se r\u00e9g\u00e9n\u00e8re pas. Sans traitement, les bords de la perforation s\u2019\u00e9pith\u00e9lialisent et la perforation reste permanente, s\u2019agrandissant parfois avec le temps.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Catalogue VOKA. [Ressource \u00e9lectronique.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Total Otolaryngology-Head and Neck Surgery (Oto-rhino-laryngologie totale \u2013 Chirurgie de la t\u00eate et du cou), Anthony P. Sclafani, Robin A. Dyleski, Michael J. Pitman, Stimson P. Schantz. Thieme Medical Publishers, Inc, 2015. ISBN 978-1-60406-646-3.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>\u0411\u0435\u0440\u0431\u043e\u043c \u0425. \u0411\u043e\u043b\u0435\u0437\u043d\u0438 \u0443\u0445\u0430, \u0433\u043e\u0440\u043b\u0430 \u0438 \u043d\u043e\u0441\u0430 \/ \u0425\u0430\u043d\u0441 \u0411\u0435\u0440\u0431\u043e\u043c, \u041e\u043b\u0438\u0432\u0435\u0440 \u041a\u0430\u0448\u043a\u0435, \u0422\u0430\u0434\u0435\u0443\u0441 \u041d\u0430\u0432\u043a\u0430, \u042d\u043d\u0434\u0440\u044e \u0421\u0432\u0438\u0444\u0442; \u043f\u0435\u0440. \u0441 \u0430\u043d\u0433\u043b. \u2013 2-\u0435 \u0438\u0437\u0434. \u2013 \u041c.\u00a0: \u041c\u0415\u0414\u043f\u0440\u0435c\u0441-\u0438\u043d\u0444\u043e\u0440\u043c, 2016. \u2013 776 \u0441.\u00a0: \u0438\u043b. ISBN 978-5-00030-322-1.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Gupta G, Mahajan K. Nasal Septal Hematoma. 2023 Aug 8. Dans\u00a0: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. PMID: 29261856.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Zielnik-Jurkiewicz B, Olszewska-Sosi\u0144ska O, Rapiejko P. Leczenie pourazowych krwiak\u00f3w i ropni przegrody nosa u dzieci [Treatment of the nasal septal hematoma and abscess in children]. Otolaryngol Pol. 2008;62(1):71-5. Polish. doi: 10.1016\/S0030-6657(08)70212-9. PMID: 18637425.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Nanu DP, Adelsberg D, Nguyen SA, Radulovich NP, Carr MM. Unmasking Nasal Septal Hematoma\/Abscess: A Systematic Review and Meta-analysis. OTO Open. 2024 Oct 8;8(4):e174. doi: 10.1002\/oto2.174. PMID: 39381799; PMCID: PMC11460746.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Shaari AL, Patil D, Youssef V, Bebawy G, Shaari DS, Schwartz C, Eloy JA. Nasal Septal Abscesses: A Systematic Review. J Craniofac Surg. 2025 Jan 3. doi: 10.1097\/SCS.0000000000011029. Epub ahead of print. PMID: 39750551.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Lanier B, Kai G, Marple B, Wall GM. Pathophysiology and progression of nasal septal perforation. Ann Allergy Asthma Immunol. 2007 Dec;99(6):473-9; quiz 480-1, 521. doi: 10.1016\/S1081-1206(10)60373-0. PMID: 18219827.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Downs BW, Sauder HM. Septal Perforation. 2023 Jul 31. Dans\u00a0: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. PMID: 30725893.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Le septum nasal est une plaque osseuse cartilagineuse qui divise la cavit\u00e9 nasale en deux moiti\u00e9s. Ses modifications pathologiques, telles que les h\u00e9matomes, les abc\u00e8s ou les perforations de la communication nasale, sont des complications graves de traumatismes ou d\u2019infections. Ces affections n\u00e9cessitent un diagnostic rapide, car elles peuvent conduire \u00e0 des cons\u00e9quences graves, notamment [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[233],"class_list":["post-2291","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-oto-rhino-laryngologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u00e9matomes, abc\u00e8s et perforations de la communication nasale : sympt\u00f4mes et traitement<\/title>\n<meta name=\"description\" content=\"Pathologies post-traumatiques du septum nasal : h\u00e9matomes, abc\u00e8s et perforations. 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