Nasal septum perforation: treatment at home

How to treat perforation of the nasal septum?

Perforation of the nasal septum called the hole in the bony part of the septum or cartilage. The disease belongs to the category of ENT pathologies that, while not life-threatening, can significantly reduce the patient’s state of health.

Defects of the structure of the septum of the nose when reducing the opening interfere with the passage of air and lead to disruption of the ventilation of paranasal sinus. In this case, you may state the occurrence of external noise, appearing as during breathing and during a night of snoring. In addition, the background of the perforation increases the risk of complications after infectious diseases.

Causes of nasal septum perforation

The emergence of this structural disturbance may be due to several reasons, among which are:

  • different kinds of injuries and damage;
  • botched surgery;
  • the presence of infectious diseases that caused the destruction of cartilage tissue of the nose, in which is formed a hole in the nasal septum;
  • prolonged use of vasoconstrictor drugs;
  • rhinitis;
  • the development of malignant tumors in the nasal cavity;
  • structural disorders of connective tissue;
  • the negative impact of narcotic, psychotropic drugs and toxins.

Symptoms and diagnosis

Nasal septum perforation has its signs:

  • frequent bleeding from the nose.
  • pus;
  • odor;
  • dried crust of blood in the nose;
  • the characteristic whistling during breathing.

There may also be nasal congestion, accompanied by difficulties in breathing through the nose.

If the hole in the nasal septum has a small size, it may be a violation of patency of the nose. If the clearance is large, complemented by the symptoms of pain and liquid discharge from the sinus.

The larger the perforation, the more noticeable external deformity of the nose.

Has the value and location of the perforation. The front part of the nose considerably drier. If the clearance is at the rear of the nasal departments, the disease, especially in the beginning, does not have pronounced signs. In this case, the detection of pathology is possible only with careful examination of the patient.

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To conduct a quality diagnosis is possible through rhinoscopy – a professional inspection of the nasal cavity. Additional screening includes a blood test for syphilis and common clinical.

To carry out a quality examination and an accurate diagnosis can only be otolaryngologist.

Conservative treatment

If the patient has perforation of the nasal septum, strongly recommended treatment at home, using the methods of alternative medicine and self-selected medications. In this scenario there is a risk to aggravate the situation, not improving condition.

If the patient has not observed obvious signs of perforation, and he does not feel discomfort, specific treatment is not required.

If the hole is small in size doctors recommend to use special means to maintain the required humidity level of the mucosa. The nasal cavity should be treated with ointments based on petroleum jelly.

To nose not formed a crust, should do his washing compositions based on seawater, and various emollients. Also useful would be regular nasal lavage with a solution of sea salt. For cooking 1 tsp salt dissolved in 1 l of water at room temperature. To enhance the effect of moisture, the solution was added glycerin.

Elimination of pathology of surgical techniques

In most cases, the elimination of perforation of the nasal septum is through surgery. The question in this case is about the plastic surgery of the nose, which is aimed at correction of defect of septum. Before the adoption of radical methods, it is desirable to eliminate factors influencing the deformation process.

The surgery technique may differ depending on the nature of the deformity and the size of the hole to be closed.

Perforation, the diameter of which varies from 1 to 3 mm, is removed through suture tightening. Depending on the nature of the damage, the hole can be closed with a piece of the nasal mucosa. These methods are suitable for small holes up to 5 mm in diameter.

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In more complicated cases, the elimination of punching is possible only by means of implantation, and, as with the use of artificial materials and implants, taken from the body of the victim.

Correction of deformity may be performed by sewing or closing holes in the cartilage. Can be made a complete replacement of the cartilage to the implant.

When surgery is used as a local anesthesia and General. It depends on the age of the patient and his condition.

In some cases, the elimination of the perforation is advisable to carry out in conjunction with otoplasty. This approach will allow not only to change or correct the shape of the ears, as well as produce natural graft to close the hole of the nasal septum.

The rehabilitation period

Surgery to correct nasal septum perforation is very serious and must be conducted in a hospital environment. The duration of the rehabilitation period can vary from 10 days to two weeks. Removal of tampons is on the second day after surgery.

For some time provides for gentle treatment, with the exception of physical activity and changes in temperature.

During rehabilitation it is necessary to avoid damage to the nasal cavity and to adhere strictly to medical advice and recommendations for care of the operated area.

Postoperative patients a special diet is prescribed and forbidden to drink alcoholic beverages. During the month patients are strongly advised not to use too cold or too hot food.

Consequences if untreated

In cases where the patient was not provided timely assistance, the patient may experience:

  • irreversible damage of smell;
  • reflex disorder: sneezing and coughing, migraines, eye disease, spasm of the larynx, epilepsy.
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In severe cases, lack of treatment can lead to the widening hole in the nasal septum. In this case, the patient’s deformed nose, when viewed from the nose almost no partitions.


Prevention of nasal septum perforation can be carried out considering the causal factors resulting in the formation of the defect.

In addition to the serious illnesses and injuries, perforation of the nasal septum may be formed as a result of frequent use of vasoconstrictor drops. That is why attention should be given timely and proper treatment of rhinitis, sinusitis, and other infectious diseases of relevance to the spread of infection in the upper respiratory tract.

The sooner will be carried out and diagnosis made plastic nose, the better. A special approach is required when implementing the selection of the surgeon. The use of drops and medicines is allowed only if the implementation of medical recommendations.

Neither before nor after surgery can not ignore scheduled preventive examination by an otolaryngologist. It is crucial to expose the treatment of comorbidities, regardless of whether indirect or direct cause they came with the formation of perforations in the nasal septum.