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Conditions

Nasal Septal Perforation

Nasal septal perforation (Photo from Wellcome Trust)

When former Eastenders actress, Daniella Westbrook, was photographed at the British Soap Awards in 2000 with her septum eroded from excessive coke-snorting, she not only became the poster girl for the ravages of cocaine, but also brought nasal septal perforation into the limelight. The septum, composed of cartilage and thin bone, can develop a hole in the cartilage, not only through cocaine use, but also as a complication of previous nasal surgery, excessive nose picking, trauma, cancer, or diseases such as tuberculosis or syphilis. As damage reduces blood supply in the septum, the cartilage begins to die, and a hole develops. Many septal perforations don’t need to be closed, and small perforations may need only frequent rinsing with prescription saltwater solutions and applying lubricating gels. Septal ‘buttons’ can also be inserted to fit the hole, which can be an alternative to surgery. However, there are various surgical techniques available for larger perforations, which can be performed under general anesthesia.

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How do i get my septal button removed? It's causing my a lot of pain and I need it removed ASAP, can I remove it my self or do I have to have anaesthetic ??





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Go and see your Dr..Don't try and remove it yourself. I have just seen an ENT about my septum hole and he says the buttons are unnecessary and cause more problems than anything

I have a hole in my septum - I seem to pick my nose in my sleep and the hole is getting bigger I feel. I am so worried, anxious, embarrassed about this. Will I pick the nose tip away? I feel sick with worry but not brave enough to go see anyone.





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Eeeekkkk...finally have appointment to see ENT specialist ...... sooooo nervous! I just hope he is kind and not judgemental





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My story. I have a large septum hole for years...I suffered extreme anxiety for some time, until my darling husband said...honey its a nose, I would worry if you had cancer, but its a nose, he helped me get things into perspective. I now go to the gym several times a week and enjoy good friends. As for my nose, I use a saline rinse every few days and keep it moisture...and its not causing me any problems at all...afterall, its just a nose.





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i have septum perferation ( hole in Bothe side)it difficult to breath pls solve the problem





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I had operation in nose but i have found holes nose septal perferation nose it is difficult to breathe can you give me suggestion





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What op did you have?

If you have two holes in your nose (each side of the nose) one smaller then the other side. Can the larger hole heal to the side of the smaller hole?





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I don't have a hole in my nose but iv been abusing coke for years over the past 5 months it's nearly everyday inside has worn away but I don't have a whole can it still collapse with a hole?





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I ment I don't have a hole can it still collapse???

Firstly apologies for the spelling in my previous post — rushing about as usual! I wanted to add that the three ENT consultants I have seen on the NHS have all dismissed my symptoms as being due to the small perforation. In fact I was pretty annoyed at one consultant when he shrugged his shoulders and literally said "I have no idea what to do". I did have polyps removed several years ago and similarly the consultants told me that my sinuses are in good health after follow up scan and FESS camera. As mentioned, I have terrible anxiety and depression about my symptoms and whilst I know this makes matters worse I have ground to a halt and I lost my job. I can't afford private consultations and I am at a loss as to how I can proceed. My doctors are not very sympathetic either so things are not good for me right now. It seems that there is a lot of conflicting information with regards to this issue: some say leave it alone; others say get if fixed, and others say that surgery has a poor rate of success. As far as I can see there are no surgeons in the UK who offer surgery on the NHS and yet my gut feeling is that if I had mine repaired whilst it is still small then I might feel better. Each day I clean my nose out with a douche and at the moment I am using sesame seed oil (a product called Nozoil). I sense though that I can't ever get the membranes to heal and after a few hours I feel dry and perhaps this is the issue.





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Hi Martin I had a septal button inserted in July with the NHS so they do perform the ops but like everything different drs have different opinions of things so some think it's best to just leave it where as some think that surgery is the way to go!

Hi I wondering if any one can help me I have a hole in my septum its not causing me a problem at the moment I have seen a consultant about this and he recommended a button repair Can I put this of or should I go ahead and get the repair I'm real upset about it can someone help





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Hi Claire, I had quite a large hole in my septum so much so that you could fit your pinky straight through to the other side! In July I had a button inserted and straight away felt a massive improvement! I was told of you just leave it and don't have it repaired it can actually get bigger and sometimes lead to the collapse of the nose and face deformities. The operation to insert the button last only about 10 mins and they do it in day surgery so you will be out the same day! Even though you may not be experiencing any problems yet that could change very quickly!If the perforation is quite small they can perform a skin craft to seal it up its only when it's quite large that they have to use a button :) Try not to be too anxious about it, it will get better :) Hope this helps





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It looks like no one else has asked this question, so please fill in the rest of your details below.





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