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Original Article

IJMDC. 2025; 9(2): 355-361


Prevalence of nasal septal hematoma and vestibulitis in patients visiting the emergency department in Saudi Arabia

Khalid A. Ateyyah, Haya Z. Albalawi, Sara M. Almutairi, Nussaiba Y. Khawaji, Dareen H. Alraddadi, Aghsan A. Badawi, Ahmad Z. Halawani, Khaled M. Al Sharif, Abduallah A. Najjar.




Abstract

Objective: The study aimed to evaluate the nasal hematoma and vestibulitis cases in Saudi Arabia, identifying demographics, clinical presentations, and diagnostic methods used in emergency departments (EDs).
Methods: A study was performed in Saudi Arabia between May and June 2024, comprising ear, nose, and throat (ENT) and emergency doctors with at least 1 year of experience. Data were gathered through a structured questionnaire, focusing on nasal hematoma and vestibulitis cases in EDs. The sample size was determined based on the number of ENT and emergency doctors in Saudi Arabia.
Results: A cross-sectional study of 307 Saudi Arabian doctors obtained a high occurrence of septal hematoma (89.9%) and vestibulitis (86.6%) in EDs. The majority were males (52.1%) and worked in Madinah and Riyadh, with 57% having over 10 years of experience. The most commonly reported workplaces were King Fahad Hospital (14.1%), King Abdullah Medical City (8.7%), and King Abdul-Aziz University Hospital (6%). Physical examination was the most common diagnostic method for both conditions. The study also found a substantial connection between doctors’ workplaces and septal hematoma incidence.
Conclusion: Saudi Arabia’s EDs were facing a high incidence of septal hematoma and vestibulitis, predominantly in Madinah and Riyadh. Healthcare professionals must be knowledgeable about symptoms and management and promote research.

Key words: Nasal septal hematoma, vestibulitis, emergency department, doctors, Saudi Arabia






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