Subperichondrial Hematoma of Alar Cartilage: A Case Report

Document Type : Case Report


Department of Otolaryngology, Cerkezköy State Hospital, Tekirdağ, Turkey.


Cartilage deformation may develop due to congenital and trauma-related hematomas. Early diagnosis and treatment are imperative to prevent aesthetic and functional complications related to alar cartilage hematomas.
Case Report:
An 8-year-old male presented with a major alar cartilage hematoma with a nasal fracture as a result of trauma. The patient underwent surgery on the 1st day of trauma for alar cartilage hematoma drainage and nasal bone reduction. No functional or cosmetic complications were observed in the patient's postoperative 1st month.
Subperichondral hematomas of the alar cartilage are rarely observed after nasal trauma and early diagnosis and treatment are important to prevent possible complications.


Main Subjects

  1. References

    1. Mathog RH. Nasal fractures. In: Mathog RH (Ed.). Atlas of Craniofacial Trauma. Philadelphia: Saunders. 1992
    2. Kastenbauer ER, Masing H. Intranasal surgery and the management of acute nasal injuries. In: Tar­dy ME and Kastenbauer ER (Eds.). Head and Neck Surgery: Face, Nose and Facial Skull. New York: Thieme Medical Publishers. 1995.
    3. Chintale SG, Kirdak VR, Jathale SP, Shaik KA. Nasal alar hema­toma: an uncommon case report. M J Otol 2017; 1: 001.
    4. Meehan T, Kaddour H, Lannigan FJ. Alar cartilage haematoma. J Laryngol Otol. 1994 Jun; 108(6):500-2.
    5. Rodney J., Schlosser MD Stephen S. Park MD. Otolaryngologıc clinics of North america; Functional nasal surgery; February 1999; S37-51.
    6. Günebakan Ç, Kuzu S. Congenital Deficiency of Alar Cartilage. J Craniofac Surg. 2021 Mar-Apr 01; 32(2): e137-e138.
    7. Kopacheva-Barsova G, Arsova S. The Impact of the Nasal Trauma in Childhood on the Development of the Nose in Future. Open Access Maced J Med Sci. 2016 Sep 15;4(3):413-419.
    8. Kühnel TS, Reichert TE. Trauma of the midface. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2015 Dec 22;14:Doc06.
    9. Green KM, Board T, Mason JD. Alar haematoma. J Laryngol Otol. 1999 Dec;113(12):1104-5.
    10. Bonte AS, Kastoer C, Vanderveken OM, Van Rompaey D, Van Gool K, Claes J. An alar cartilage hematoma in a 10-year-old child. B-ENT 2020; 16(3): 168-71.
    11. Wright RJ, Murakami CS, Ambro BT. Pediatric nasal injuries and management. Facial Plast Surg. 2011 Oct; 27(5):483-90.
    12. Canty PA, Berkowitz RG. Hematoma and abscess of the nasal septum in children. Arch Otolaryngol Head Neck Surg. 1996 Dec;122(12):1373-6.
    13. Olsen KD, Carpenter RJ, Kern EB. Nasal septal injury in children. Diagnosis and management. Arch Otolaryngol. 1980 Jun;106(6):317-20.
    14. AlWatban ZH, Alhussaini MK, AlTuwaijri A, Alabdulqader AA. Alar Cartilage Hematoma: Case Report and Literature Review. Indian J Otolaryngol Head Neck Surg. 2022 Oct; 74(Suppl 2):1514-1517.