Nasal Septum Perforation - Definition, Causes, Symptoms and Treatment Video

Nasal Septum Perforation


Definition of The Nasal Septum Perforation

It consists of nose septum, cartilage and bone, and both sides are  covered with mucopericondrium - cartilage gland, mucoperiosteum and it vertically dividing the nasal cavity along the length to two cavities.
Nasal septum perforation / perforation of the nasal cartilage is referred to as "nasal septum perforation / perforated nasal septum", which is the part of the nasal septum that divides the nasal cavity into two.

Nasal Septum Perforation Classification

Nasal septum perforations are classified into 3 categories according to their size:
  • Small holes - Diameter less than or equal to 0.5 cm
  • Middle holes - Diameter between 0.5 and 2 cm
  • Large holes - perforations larger than 2 cm in diameter

The location and size of perforation affects the indication that may occur in the patient.

Nasal Septum Perforation Causes

Causes of nasal septal perforation can be classified into the following main categories:

Traumatic causes

◙ Previous surgery
◙Bur Intra-nasal cauterization for nosebleed
◙ Nasal mixing
◙ Nasogastric tube insertion
◙ Septal hematoma caused by any blunt trauma
◙ Battery or other foreign object escaping into the nose
◙ Kullanım Chronic nasal cannulae use
◙ Turbulence

Inflammatory or infectious causes

◙ Sarcoidosis
◙ Wegener granulomatosis
◙ Systemic lupus erythematosus
◙ Tuberculosis
◙ Syphilis
◙ Diphtheria
◙ Crohn's disease
◙ Dermatomyositis
◙ Rheumatoid arthritis
◙ Neoplastic causes
◙ Cancer
◙ T-cell lymphomas
◙ Cryoglobulinemia

Other causes

◙ Inhalants - for example, cocaine, topical corticosteroids, long-term oxymetazoline or phenylephrine administration
◙ Chromic acid smoke
◙ Mar Exposure to lime dust
◙ Renal failure

Nasal Septum Perforation Symptoms

The punctures in the nose septum cause air leakage between the right and left nasal cavities. The air flow, which enters each nostril and is heated, refined, humidified, and transmitted back to the nasal passages, passes through the septum hole through the opposite side of the jet stream and proceeds without dewatering filtration

Small holes in the front may make more noise.

Nasal Septum Perforation Treatment

Treatment is divided into 3 main categories:

1. Medical treatment
2. Insertion of septal button or septal prosthesis
3. Surgical treatment

Medical Treatment of Nasal Septum Perforation

Medical treatment is planned to reduce symptoms rather than correcting perforation. For this purpose, it is possible to use drops, sprays or ointments containing the mucosa moisturizing agent, vaseline, glycerin derivatives, a vitamin and e vitamin, which reduce the loss of fluid from the mucous membrane.

Septal Button or Septal Prosthesis for Nasal Septum Perforation

A septal button placement can be implemented as a temporary or long term solution. The soft silicone derivative buttons placed in the hole ensure that the hole between the nasal cavities is covered.

Nasal Septum Perforation Surgical Treatment - Surgery

Surgical repair can provide a definite solution, but the failure rate can be up to 60%, especially in large holes. The two main reasons for this high failure rate are inadequate blood flow and damaged surgery. More than 90% of small holes can be reliably closed.

In modern 2-stage operations, success rates can exceed 80%.

Although many techniques have been described for repair of the perforation of the septum, no standard surgical protocol has been developed.

Links to find detailed information about "Nasal Septum Perforation, Definition of Nasal Septum Perforation - Classifications of Nasal Septum Perforation - Treatment of Nasal Septum Perforation - Nasal Septum Perforation Causes - Surgical Closure of Nasal Septum Perforations - Nasal Septum Perforation Surgery in Istanbul - Nasal Septum Perforation Treatment in Turkey":

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47




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