Deforming posttraumatic hematoma of the nasal tip: an infrequent lesion.

Because of its anatomical location, the nose is one of the body regions that most frequently experience trauma.1 For this reason, it is also the area of the face that most frequently experiences fractures,1,2 although the fracture of nasal bones, simple or complex,3 is not the only consequence that can accompany trauma.1–9 Among the most important secondary effects of nasal trauma is vascular damage without drainage, which is complicated by the formation of a hematoma.1–3 Nasal hematomas are principally found at the nasal septal level and, if not treated adequately, can present severe complications.1–10 Very few cases of nasal hematomas affecting other areas of the nasal septum have been reported,11,12 and to date, no report exists in which the lesion was diffusely present at the level of the entire nasal tip. We present a case of a deforming hematoma of the nasal tip with a lesion of the alar cartilage, which appeared following a slight nasal tip trauma. The hematoma was not diagnosed early because this type of lesion following nasal trauma was not considered a possibility, and because of the characteristics of the lesion, it was inadequately treated initially. Emphasis should be placed on the importance of early diagnosis and treatment in this type of lesion to maximally prevent aesthetic complications and alterations.