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What are the treatments for a perforated septum?

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Surgery isn’t usually the first step in treatment. Your doctor may suggest an ointment or a regular saline rinse. If those ease your symptoms, you still need to go for regular checkups because the hole could grow. If it gets too big, your nose won’t be as stable, and that may make the tip or middle of your nose start to droop.

If those don’t work, your doctor might look for other problems in your nose, especially if your main symptom is that you feel a blockage. That could be caused by something else, and surgery may not help.

You also need to understand what led to the hole. If it was caused by an ongoing issue, like a tumor, infection, or drug use, your doctor should treat that first. Then you can think about care for your septum.

SOURCES:

Massachusetts Eye and Ear: “Septal Perforation.”

American Rhinologic Society: “Nasal Anatomy.”

Medscape: “Nasal Septal Button Placement.”

Merck Manual, Professional Version: “Septal Deviation and Perforation.”

Aesthetic Surgery Journal : “Diagnosing and Treating Nasal Septal Perforations.”

Eric Holbrook, MD, director, Division of Rhinology, Massachusetts Eye and Ear; associate professor of otolaryngology, Harvard Medical School.

Reviewed by Melinda Ratini on January 30, 2018

SOURCES:

Massachusetts Eye and Ear: “Septal Perforation.”

American Rhinologic Society: “Nasal Anatomy.”

Medscape: “Nasal Septal Button Placement.”

Merck Manual, Professional Version: “Septal Deviation and Perforation.”

Aesthetic Surgery Journal : “Diagnosing and Treating Nasal Septal Perforations.”

Eric Holbrook, MD, director, Division of Rhinology, Massachusetts Eye and Ear; associate professor of otolaryngology, Harvard Medical School.

Reviewed by Melinda Ratini on January 30, 2018

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