Perforated Septum (Hole In Nasal Septum)
Description
The nasal septum is the structure between the nostrils that separates the nasal passages. The septum is composed of cartilage and thin bone, and can develop a hole (perforation) in the cartilage. Any disorder that disrupts the blood supply to the septum can cause a perforation including: previous nasal surgery, cocaine use, excessive nose picking, trauma, cancer, or diseases such as tuberculosis, sarcoidosis, or syphilis.
Symptoms
Nasal irritation, dryness and crusting, air blowing past it whistles, picking at the crusts can cause bleeding.
Tests
A history and physical exam will be performed.
Treatment
Some perforated septums do not need treatment, others require surgery. Nasal saline sprays may control symptoms.
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