I have a perforated nasal septum. I think it is about 6mm. I ve seen an ent and he has suggested leaving it alone. It is troublesome, with varying symptoms every day : dryness, stuffiness, runny nose, post-nasal drip, mild stinging, tingling sensation on outside of my nose. I use naseptin daily with some vaselins smeared just inside my nostril. The hole came about following a bad cycling accident and subsequent crusting up which I tended to pick to clear my nose. I do not touch it now with my fingers. I ve been aware of the hole for several months. Is it likely to get bigger? Would surgery be a viable option?