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A nosebleed, also known as epistaxis, is an instance of bleeding from the nose. [1] Blood can flow down into the stomach, and cause nausea and vomiting. [8] In more severe cases, blood may come out of both nostrils. [9] Rarely, bleeding may be so significant that low blood pressure occurs. [1]
In adults, nasal septal hematoma typically occur with significant facial trauma and/or nasal fracture. [6] However, in children, due to their thicker septum and more flexible lining, nasal septal hematoma can be caused from minor nasal trauma such as simple falls, collisions with stationary objects, or minor altercations with siblings.
By itself, facial trauma rarely presents a threat to life; however it is often associated with dangerous injuries, and life-threatening complications such as blockage of the airway may occur. [4] The airway can be blocked due to bleeding, swelling of surrounding tissues, or damage to structures. [25]
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Reduction, if needed, can typically occur after the swelling has come down. [1] Depending on the type of fracture reduction may be closed or open. [3] Outcomes are generally good. [5] Nasal fractures are common, comprising about 40% of facial fractures. [1] [4] Males in their 20s are most commonly affected. [3]
If it’s safe, and we can fix it in the air, we’ll do it. If there’s any doubt that it poses a safety problem, then no, we go to the nearest airport where we can get it fixed and land.”
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In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.