Nasal Septal Perforation - Definition, Causes, Symptoms, Diagnosis and Treatment
Repair of Nasal Septal Perforation
Holes in nasal septum that divides the nasal cavity is called as nasal septum perforation. The hole can cause a direct communication between the two normally-separate sides of the nose and it can cause deterioration of physiological nasal air flow.
Definition of Nasal Septal Perforation
|Definition of Nasal Septal Perforation|
Nasal septum perforation, are classified according to size in three ways:
Central holes - diameter of 0.5-2 cm
Large holes - diameter > 2 cm
Causes of Perforated Nasal Septum
|Causes of Perforated Nasal Septum|
- Finger injury
- Septal hematoma
- Mucosal damage
- Aggressive nose picking
- A nasogastric tube placement
- Septoplasty (SMR ) procedure
- Rhinoplasty ( nose job ) surgery
- Churg - Strauss Syndrome
- My Rhinosclero
- Squamous cell cancer
- Septal abscess
- Vasoconstrictor drugs
- Cocaine use
- Ceramic chrome products
Cocaine using can damage the nose and cocaine cause following problems:
- Nasal septum perforation (Cocaine Nose Hole)
- Collapse of the nose
- Loss of sense of smell
Cocaine causes these blood vessels which in the lining of the septum to constrict (close down). When the blood supply drops, the lining begins to die. In this case a long time causes nasal septum perforation can occur.
Symptoms of Nasal Septal Perforation
|Symptoms of Nasal Septal Perforation|
Diagnosis of Nasal Septal Perforation
|Diagnosis of Nasal Septal Perforation|
In the photo above, nasal endoscopic appearance and sinus computed tomography of patient with septum perforation that occurring after rhinoplasty operation are showing.
Medical Treatment - Nasal Septal Perforation
|Medical Treatment - Nasal Septal Perforation|
Septal Button - Nasal Septal Perforation
|Septal Button - Nasal Septal Perforation|
Surgical Repair of Nasal Septal Perforation
|Surgical Repair of Nasal Septal Perforation|
Septal Perforation Definition, Symptoms, Treatment Video
Repair of Large Septum Perforation With Rib Cartilage Video:
Large Septum Perforation Repair With Rib Cartilage - Examination 4 Month After Surgery Video:
Very Large Nasal Septal Perforations - Surgical Difficulty
|Very Large Nasal Septal Perforations - Surgical Difficulty|
It is difficult surgical closure of large perforations. In large perforations, some authors have suggested the use of labial and oral flaps (source: Innovative technique for large septal perforation repair and radiological evaluation). The open approach can be use to easily assesment of perforation edges and to ensure routine surgical dissection and reconstruction of the defect. Nasal hump, rib cartilages also use for repair of large septal perforation.
Dr. Heller et al. used the "Facial Artery Musculomucosal (FAMM) Flap" to repair of large nasal septal perforations. You can find detailed information at >> Repair of Large Nasal Septal Perforations Using Facial Artery Musculomucosal (FAMM) Flap
Bipedicled mucoperichondrial flaps can be used with endoscopically assisted approach in large septal pefortaions. You can find detailed information at >> Large nasal septal perforation repair by closed endoscopically assisted approach.
You can see image on the above, there is a tomography scan showed that nasal septum perforation (red arrow), right inferior turbinate (yellow arrow), left inferior turbinate (green arrow).
While different techniques exist other than thereof; surgical success is reduced while perforation diameter is increased due to decreased tissue perfusion dryer effect of the nasal airflow.
Postoperative Patient Care After Nasal Septal Perforation Repair
|Postoperative Patient Care After Nasal Septal Perforation Repair|
Antibiotics and pain medication are usually given for a period of first one week.
Dietary and lifestyle changes are not necessary.
- Nasal Septum Perforation - Definition, Causes, Symptoms and Treatment
- Repair of Large Septum Perforation With Rib Cartilage Video
- Large Septum Perforation Repair With Rib Cartilage - Examination 4 Month After Surgery
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