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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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Please, do not know if it is possible to use plasma therapy? He is used to regenerate cartilage other, why not try for nasal septum? Ask your doctor and your experience here!





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the hole in my septum is about the size of a quarter and I have been told it cannot be fixed. I also worry about my nose collapsing. I just read a comment about a flap being put in and also about a button. if there's anyone that can kill me what to do and where to go to maybe get these procedures it would be appreciated.





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The problem (perforation septum nasal) i have ten years, 4 years ago i had an operation - was not successful. It's not easy. What plasma therapy?





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My husband had surgery for this almost 10 years ago. He suffers terribly and we are told you can only try surgery once. He gets bad crusting huge pieces that go to back of throat and choke him. He ends up throwing up and having massive nose bleeds. Sinus mucus is always running into his throat we just don't know what to do anymore.





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My nose started to bleed slightly 5 years ago when I was 17 I have a problem with repeatedly picking my nose ever since being a small child it is the worst habit imaginable , what started as slight bleeding has slowly increased to a larger inner nostril on the left with the right one almost closed with deviation my pinky fits up into the larger open nostril quite deep but no noticable hole deep within my nose although air only flows through my left nostril unless I pull my nostril open and sniff up I am too worried about what the doctor thinks to ask for help as I am a 22 year old male in a city rife with cocaine in young adults and I'm afraid he won't beleive me or offer the best help due to this can anyone who has been to see a GP give me any advice on how it went and what to expect





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does anyone know if swimming in a chlorine pool will make the hole bigger?





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Hi Lea. It's about the size of a lima bean. It hasn't gotten any bigger over time. I've never considered surgery because I have always been obsessed with blowing my nose and I think I would end up perforating it again. I just keep it clean. I really didn't like putting Vaseline or anything on mine, it felt gross...When I get crusties I put saline on a Qtip and work it off gently and when I'm in the shower I cup my hand and place it up to my nose and blow water bubbles. Luckily I live near the beach and the humid salt air helps too. If you live in a dry climate you may wanna consider sleeping with a humidifier. I know it's bothersome has heck to deal with, especially in the begining... try not to let it worry you too much, it'll be ok. Hope this helps..





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Thanks I appreciate you taking the time to reply

My story is exactly like Rachel's. You have got to make yourself accept it. Just keep it clean with sterile saline and try your best not to pick it. I've had a perforated septum for 20 years. I'm 50. It just becomes "normal" after a while. It's part of my hygiene. The only thing I hate about it is that I can't use a neti pot....just goes right through the hole. I tried using a finger cot to plug the hole...it worked ok but if anyone has a better idea I'd like to hear it...





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Thanks. How big was the hole and did it get bigger over time or has it remained the same? Was surgery every an option or something you considered?

i have had a nasal camera at ENT clinic and they cant see any reason for my nasal bloody mucus..i am also having intermittent swallowing issues. I have been on drugs for reflux 15 years and doubed last october to 40mg..why would reflux cause this? I am disappointed that the ENT did not order a sinus scan as he did say as we were leaving it could be coming from my nose but why leave it at that? arium swallow showed some poor motility of oesophagus but no tumours. I am having a gastro appt on Monday at Addenbrookes but cant understand why a problem in stomach would make my nose bleed?





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Ask your doctor to refer you to a rheumatologist. You may have an autoimmune problem called scleroderma. Slow swallowing acid reflux and loads of other small symptoms etc are some of the symptoms of that. I have it. Doctors don't know much about it.

Would it be possable to us something to replace the septal when it has gone and the whole is very large





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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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