HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Does A Nasal Septum Perforation Require An Operation?

Posted on Mon, 27 Nov 2017

Question: Hi again doctor.so i have finally created a hole in my septum.it is very small and not bothering me at all.what are my choises and is it dangerous.i heard that an operation is extremly pain full and there is a very long term recovery.can i just leave it alone.

Answered by Dr. Priyanka Aggarwal (7 hours later)

Brief Answer:
Nasal septum perforation

Detailed Answer:
Hi
Welcome again to HCM.
If the perforation is asymptomatic nothing is to be done and can be left as such for lifetime but if there are any symptoms like a whistling sound or dryness than needs to be closed by surgery. The surgery is done under anaesthesian,so not painful.
There is nothing dangerous, so just relax but avoid any further damage.
Any further questions are always welcome.
Take care
Thanks and regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Priyanka Aggarwal (1 hour later)

how is the surgery done.where do they get the cartilege from.is post surgery very pain full.and how long is the recovery time.

how do i know for sure that my septum is perforated.if i need surgery how long is the recovery and is it painful.

Answered by Dr. Priyanka Aggarwal (5 hours later)

Brief Answer:
Nasal septal perforation

Detailed Answer:
Hi
A Ct scan paranasal sinuses can be done to confirm any septal perforation.
The nasal septal cartilage posteriorly can be transferred or mucosal flaps can be used to close the perforation.
The surgery is done under anaesthesia. so not at all painful. The procedure depends upon the size of perforation and the technique used.
The post operative recovery period is not more than 10 days.
Any further questions are always welcome.
Take care
Thanks and regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Priyanka Aggarwal (3 hours later)

the hole is kind of small.what would be the method of surgery.what will they use to close the hole.and how long before i get out of the hospital.

Answered by Dr. Priyanka Aggarwal (15 hours later)

Brief Answer:
Septal perforation

Detailed Answer:
Hi
Different surgeon adopt different techniques. Usually small holes are left as such or closed with mucosal flaps only.
The patient can be discharged in 3 to 5 days if post operative recovery period is uneventful.
Any further questions are always welcome.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Priyanka Aggarwal (28 minutes later)

what do you mean by post recovry period is unevenful

Answered by Dr. Priyanka Aggarwal (2 hours later)

Brief Answer:
Septal perforation

Detailed Answer:
Hi
I mean to say usually the patient is discharged in 3 to 5 days but some patients can have infection or bleeding or headache or some other systemic problem that might need to be observed and patient can be kept for longer period
Regards

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Kampana