Infected Septal Hematoma

A 3-year-old girl presented to the emergency department for evaluation of one week of fevers, nasal congestion, and rhinorrhea following a minor fall with nasal impact at school. She was uncomfortable with a challenging intranasal examination due to pain which made it difficult to clearly visualize the medially based swelling of the septum obstructing the nasal passages (Figure, A). The history and examination were suggestive of septal hematoma with progression to abscess, although septal deformity, neoplasm, and polyps were also considered.

source https://www.jpeds.com/article/S0022-3476(21)00903-3/fulltext?rss=yes