Septal Perforation

Septal perforation is a hole in the nasal septum, due to trauma/surgery, cocaine, irritants, infection (TB/syphilis), or granulomatosis (Wegener/sarcoid), presenting with crusting, epistaxis, nasal obstruction, whistling, and possible saddle-nose deformity. Treatment: identify/treat cause; avoid cocaine/irritants; saline/moisturizing; antibiotic ointment; septal button/closure in selected symptomatic; surgical repair for large/whistling/saddle-nose; treat underlying granulomatous disease.

Common Symptoms

Crusting/epistaxis; whistling; nasal obstruction; saddle-nose deformity possible

Causes and Pathogenesis

Trauma/chemical/granulomatous causes septal mucosal/cartilage loss and perforation.

Treatment

Treat cause; saline/moisturizing; septal button; surgical repair in selected symptomatic

Preventive Measures

Avoid cocaine/irritants; humidification; treat underlying disease.

Department to Visit

It is recommended to visit the ENT/Rheumatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.