We have coined the term ‘Mega-perforation’ to refer to a septal perforation that approaches the limits of reparability. Typically perforations greater than 3.0-3.5cm and/or greater than 75% of the anterior septum size fall into this category. The “watch and wait” approach to managing any septal perforations is typically the wrong approach because perforations increase in […]
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 […]
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 […]
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. Download article […]
Septal perforation surgery is likely one of the most difficult reconstructive surgical procedures performed by a nasal reconstructive surgeon. Long-term follow-up is mandatory to insure that the perforation heals well without complications. Download article in PDF format Click here to learn more.
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 […]
One of the most significant long-term effects of cocaine use is damage to the nose. A septal perforation, or a “hole in the septum” is a condition that is commonly caused from snorting or “sniffing” cocaine through the nose. Click here to learn more.
Septal perforations may arise from a variety of common injuries to the nose. These injuries can compromise blood flow to the nasal septum causing a small hole and eventually leading to a larger perforation. Structural compromise of the nasal septum can in turn lead to a visible indentation in the bridge of the nose known […]
Septal perforations may arise from a variety of common conditions. One common etiology associated with septal perforation is corrective surgery for septal deviation (deviated septum). View article PDF here. Click here to learn more.