The septum is the cartilaginous membrane that divides the nostrils. During a perforation, there is a connection between the two nostrils through the septum. Septal perforation can be embarrassing, and physically difficult to deal with. At the Revision Sinus Surgery Center of Excellence, our expert physicians specialize in a variety of minimally invasive treatment options (septal perforation repair surgery) that can be catered to your specific needs.

If you are suffering from a septal perforation and would like to schedule a consultation contact us at (888) 762-8408.

What Can Cause Septal Perforation?

Septal PerforationSeveral different things can cause septal perforation, as such it is important to be checked by an expert sinus surgeon to determine what has caused the perforation and how best to treat it. Some of the various conditions have been linked to septal perforation:

  • Traumatic causes – Nose picking, previous surgery, nasogastric tube placement, septal hematoma (bruise) that results from any blunt trauma
  • Inflammatory or infectious causes – Sarcoidosis, Wegener granulomatosis, Systemic lupus erythematosus, Tuberculosis, Syphilis, Crohn’s disease Rheumatoid arthritis, Carcinoma
  • Other causes – Cocaine, long term use of topical corticosteroids, oxymetazoline, phenylephrine, chronic exposure to inhaled irritants acid fumes, lime dust exposure

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How to Tell Whether You Have a Septal Perforation

Septal perforations are best discovered and treated by expert sinus surgeons. Nasal septal perforations may be grouped based on their size:

  • Small perforations – Diameter ≤ 0.5 cm
  • Medium perforations – Diameter between 0.5-2 cm
  • Large perforations – Diameter > 2 cm

Symptoms of the perforations will be different based on their size and location.

Some of the more common symptoms of a perforation are bleeding, crusting, nasal discharge, and whistling sound on inspiration. Furthermore, a very large perforation in the back of the septum may lead to a saddle nose deformity, where the nose collapses onto the face.

Treatment Options For Nasal Septum Perforations in Los Angeles

Since there are several issues that can cause a perforation (along with the various sizes they may attain), each patient’s perforation is unique, thus requiring a specialized treatment plan. At the Revision Sinus Surgery Center of Excellence, our world-renowned physicians specialize in both conservative treatment and minimally invasive endoscopic septal perforation repair.

Some of the treatment options include initially avoiding any causative substance that may have been the initiating factor. If the perforation is small enough, keeping the area moist with petroleum jelly and other emollients may help relieve some of the symptoms. Larger perforations require broader treatment plans.

One surgical option, available with our expert team of septal perforation repair physicians, includes mobilizing some of the mucosal tissue that is found above the cartilage that makes up the divider between the nostrils. For much larger perforations, minimally invasive surgical technique includes our team taking a very small amount of cartilage from your ear or temporal tissue to recreate the septum.  These outpatient procedures are done with the latest in advanced techniques allowing for a speedy and quick recovery.

Contact One of the Best Sinus Surgeons in Los Angeles

The ENT surgeons (Ear, Nose, and Throat) at the Sinus Surgery Center of Excellence utilize state-of-the-art endoscopic sinus surgery techniques. This minimally invasive outpatient surgery (meaning patients can go home the same of surgery) helps reduce pain and discomfort after surgery. If you are suffering from a septal perforation and would like to schedule a consultation, contact us today by calling  (888) 762-8408.

Next, read about other sinus treatments offered at our surgery center.