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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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I have recently seen an ENT specialist for the hole in my nose due to continued picking (I think). He wants to put a button in it but I am a bit concerned after reading things on here. Is it worth it? At the moment the hole completely fills up with large scabs and I find it impossible not to pull them out as it effects my breathing. What can I do? Please? I'm worried if I don't have the button I might lose the entirety of my cartilage





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hello I have the same issue I use soft nasal dilators and find they stop this at night such as MegaVent Universal Nasal Dilator or Max-Air Nose Cones I also use Ponaris nasal oil during the day to keep it moist and stop drying out.

I have recently been diagnosed with a hole in my nasal septum. The resulting whistling is making it difficult to sleep and driving me crazy! Would a button solve this problem and are there any other pprocedures to help this?





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I have just had a button placed for my perforated septum and I have got to say I don't think it is worth it, my nose is more clogged up that it was before the button, the pain afterwards is unbearable and because of my nose being more clogged I cannot sleep properly either





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I'm a crohns patient and I do domestic cleaning for a job Since taking azothiaprine last year for my crohns I have suffered with severe nasal discomfort , crusting, bleeding. I have tried everything from naseptin nasal cream to saline solution to steroid creams etc. I have just been on an 8 week course of prednisolone for my crohns and my nose problems still there! I just can't understand why it won't clear! I have been under private ENT doctor and he still can't fathom what the problem is. Could it be my crohns? Or is it more likely to be nasal septum perforation from using cleaning products ? Someone please help me! Just anything to relieve the pain and runny nose would be a god send





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Hi there as like a lot of young people I have enjoyed a few years partying however my nose has really taken a beating and I think the bridge in my nose has started to erode away on one side and the cartilage in my nose feels as if it's dropped on one side, unless I told you about my nose problem you probably wouldn't notice it if you met me but me knowing about it and feeling the pain of it, it constantly plays on my mind.. What so I do?





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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

The Dr. must remove it. Be prepared it does HURT. I had 2 buttons, the first one was to big got removed and a smaller one was put in. I had that one in only 7 months. How they remove it is with a special tool. The Dr. sprays then nose to numb it he then takes the tool places it on the button and PULLS. I wish you all the Luck, hope you get feeling much better.

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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The way to stop picking it in the night is this: Buy some cheap plaster strips from Asda or Tescos. Cut them up and put them over the fingers that you know you use to pick the nose. When you go to bed make sure you tell yourself that you are not going to pick your nose. At first you may not succeed but if you keep going you will stop. At first I found even the plasters on my finger to be irritating but after about for weeks I have stopped. I had plasters on four fingers and it worked. You must stop this because it leads to all manner of issues. For me it was linked to anxiety and was a deep habit.

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





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