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