A nasal septum perforation (septal perforation) is a condition where the nasal septum develops a hole or fissure. The nasal septum is comprised of cartilage, bone, and mucus lining. This structure is what separates the two nostrils in the nose.
Septal Perforation Causes
Use of prescription medication
Illegal drug use
Previous nasal surgery
Cancer (which is very rare)
Septal Perforation Symptoms
Septal perforations can either be asymptomatic or present symptoms depending on the severity of the perforation. Some symptoms that may occur include:
Crusting and dryness
Bleeding and discharge
Pain or discomfort
Whistling noise while breathing
As soon as a septal perforation is identified, it is important to find the cause for the perforation and consult a medical professional for any necessary treatments. In the meantime, it’s important to keep the nose clean and moist with a nasal saline spray.
Septal Perforation Treatments
Most of the time, the treatments for septal perforation is non-surgical and a topical ointment is prescribed. In more severe cases, surgery may be required to treat septal perforations. The surgical procedures vary and could be simple with a septal button implant to fill in the tear, or more complex with grafts and extensive reconstructive processes.