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Repair of Nasal Septal Perforation (cont.)


Why It Is Done

Some nasal septal perforations can cause symptoms such as bleeding and pain. Small perforations can create a whistling sound when you inhale. In cases of long-term, severe perforation, the bridge of the nose can develop a saddle-shaped deformity. Surgery can resolve these problems.

How Well It Works

Surgery to repair a nasal septal perforation is usually successful. But some large perforations may be hard to close.


Bleeding and infection can occur after any surgery. You should contact your doctor if you have:

  • Heavy bleeding. Mild bleeding is normal.
  • A fever of 101°F (38.3°C) or higher.
  • Severe pain. Mild pain is expected.
  • Pus.
  • A foul smell coming from the nose.
  • A persistent headache.

Sometimes the perforation may reopen and need another surgery.

What to Think About

Success of surgery depends to some extent on the size of the perforation and also on proper postsurgery care at home. Large perforations are more difficult to close.

The repair may not be as successful in people who smoke or have diabetes as in other people, because these conditions can reduce blood supply to the septum.

A doctor may want to try a nonsurgical technique to close the perforation before suggesting surgery. In some cases, a doctor may insert septal "buttons" made of silicone or other materials that are cut to fit the perforation.

eMedicineHealth Medical Reference from Healthwise

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