Itâs easy to rupture the small blood vessels in your nose, especially when itâs dry out. A deviated septum, or a shifted wall in your nose, is a common cause of both symptoms. Along with headaches and nosebleeds, a deviated septum can cause blockage in one or both nostrils, facial pain, and noisy breathing during sleep.
Tumescent anesthesia is when the surgeon injects fluid containing lidocaine (which is like the medication you get injected at the dentist) and epinephrine (which is like adrenaline) which helps constrict the blood vessels.
Essentially, coalescent mastoiditis is an empyema of the temporal bone that, unless its progress is arrested, drains either through the natural antrum to give spontaneous resolution or creates further complication by draining unnaturally to the mastoid surface, petrous apex, or intracranial spaces.