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My Nose Has Been Whistling After Discovering a Small Hole in my Septum. Will It Heal Naturally or Will I Need Surgery?

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Doctor Answers (4)

Whistling through a hole in septum. Options?

+1

If it is a very new perforation there may be a chance that it will close.  This seldom happens.  There is also the issue or why did this happen?  Does the underlying cause need to be addressed?  Best to go to an experienced nasal surgeon.  Together you will come up with a plan.


Las Vegas Plastic Surgeon
4.5 out of 5 stars 7 reviews

Surgery to correct small hole in septum

+1

A small hole in the nasal septum will not heal on its own and needs to be surgically corrected.  Whistling is a direct result of cross ventilation through the septum from the hole.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

My Nose Has Been Whistling After Discovering a Small Hole in my Septum. Will It Heal Naturally or Will I Need Surgery?

+1

Whistling and crusting are a common problem with small perforations. If the perforation is new it will sometimes heal but this is uncommon. The options available include observation (doing nothing), surgery to close the hole or placement of a septal button which is essentially a silicone grommet that plugs the hole. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
5.0 out of 5 stars 37 reviews

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Holes or perforations in the nasal septum often whistle

+1

The most common causes of holes or perforations in the nasal septum are from surgery, trauma or overuse of medications such as Afrin or Cocaine. Since it disrupts the nasal airflow it can cause both whistling and even a feeling of nasal blockage. The normal airflow becomes disrupted. Some pateints even get crusting inside the nose and/or frequent nosebleeds.

The best treatment is to have the hole surgically closed.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.