Septal perforation (a hole in the nasal septum) is considered a major complication after septoplasty. Septoplasty is typically performed to correct a deviated septum in a patient who complains of nasal obstruction. In a successful case the obstruction is relieved, the septum is straight, and the patient is happy with their newfound nasal airflow. A septal perforation is typically caused at the time of septoplasty surgery by errant surgical dissection, where in, a hole is torn through the nasal mucosal lining causing the initial perforation
The nose is the most commonly injured facial bone. A fractured nose must be evaluated immediately for the presence of a septal hematoma (a large blot clot involving the nasal septum). If not drained promptly a septal hematoma may lead to infection, septal perforation, and long-term nasal deformity. If a perforation has developed a corrective functional rhinoplasty and septal perforation repair must be performed simultaneously to yield the best clinical outcomes.
Nose picking is one of the leading causes of epistaxis (nose bleeds) and a common cause of septal perforations (a hole in the nasal septum). Nose picking (rhinotillexis) is defined as the insertion of the finger and/or object into the nose for the purpose of removing nasal secretions, mucus, crusts and so forth.
Septal perforations can arise from a variety of injuries to the nose. In the pediatric population children placing small objects in the nose is a common cause of injury to the nasal septum. In this case a lithium battery from a small toy was placed in the nose. The battery went undiagnosed for three days and began to leak, eroding through the septum lining and cartilage, leaving the child with a septal perforation.
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