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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 went to ENT End of January of 2015 due to all of a sudden horrible nosebleeds. I was having them a few times a week and they lasted a long time. ENT tells me I have a Hole in my septum of course asks me about drug use, I said no just tons of bad sinus infections for a lot of years. Dr tells me I must have a CT Scan, and Surgery to close it. The nosebleeds have given me major anxiety since they come out of the blue, Dr said to use Bacitracin Antibiotic ointment in the nose and keep it moist. The nosebleeds stopped for 3 months and now out of nowhere started again and Im really nervous. Does any know if I continue to use the Ointment everyday and SAline drops, will the nosebleeds stop? My nose only whistles when my sinus's act up which is during the spring time from Allergies. Any Suggestions please as I cant live like this anymore.





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Hello all appreciate hearing your posts! I have recently developed a nasal perforation due to the use of fluctocasone (a nasal decongestant). I saw a ent doctor and had surgery to close it. For the procedure a mucosa flap was cut, rotated, and stitched into place. The procedure unfortunately did not work. I am seeking a second opinion and having the size of the hole monitored. Currently it is between 5-6mm. My question and concern here is does the hole get bigger over time? Thanks!





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Hello all appreciate hearing your posts! I have recently developed a nasal perforation due to the use of fluctocasone (a nasal decongestant). I saw a ent doctor and had surgery to close it. For the procedure a mucosa flap was cut, rotated, and stitched into place. The procedure unfortunately did not work. I am seeking a second opinion and having the size of the hole monitored. Currently it is between 5-6mm. My question and concern here is does the hole get bigger over time? Thanks!





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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





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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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