Risks from Perforated Septum if Left Untreated?

Question

I always have an abnormal amount of dried mucus, crusting and scabbing in my nose and it's always stuffed. Thus, I'm forever picking my nose to alleviate the symptoms. I went to an ENT and he said I have a perforated septum and has ordered a cat scan to get further information before he discusses what to do next.
I'm freaking out. I'm assuming my nose picking caused the perforation. What are the dangers if left untreated? Is there hope for my nose to ever be normal? What are my treatment options? Can treatment stop the crusting, scabbing and stuffiness? All info helpful!

Anil R. Shah, MD · Answer

Septal perforations range in size and symptoms.  Typically, posterior septal perforations can be left alone that are asymptomatic while the more anterior the perforation the more likely it will become symptomatic.  If a perforation is stable in size (especially if the patients is using nasal saline, gel and other nasal emollient) then observation is fine.  If the perforation continues to grow in size or becomes symptomatic, repair can be considered.

Matthew Richardson, MD · Answer

Septal perforations often do not require treatment. If they are small, they can be successfully repaired, but this is usually not needed. Most patients can achieve adequate nasal breathing and decreased crusting and dryness with proper nasal hygiene such as aggressive nasal saline sprays, gels, and ointments. Once the crusting and dryness is controlled, most patients are satisfied. Keep in mind that septal perforation repairs do have a relatively high failure rate, so surgery should not be the first option.
Be sure to see an expert.
All the best,

Tanveer Janjua, MD · Answer

The perforated septum can be left alone but more important question is why do you have one?
It can be caused by nose picking, frequent use of OTC nasal sprays, cocaine use, rare metabolic disorders like Wegners Granulomatosis, Sarcoidosis, TB etc.
Once the medical work up is done then you need to start lubricating the nose to avoid crusting by using ary gel (OTC), saline spray and using a cool mist humidifier at night.
There is no inherent risk in leaving the perforated septum alone.
Regards

Samir Shureih, MD · Answer

Rhere are many causes for perforated nasal septum. It is important to find the cause and treat the cause, so that the perforation does not enlage further, which can cause collapse of the nose. Untreated small perforations may not cause any problem except breathing issues when you breath from the nose due to air turbulance.
Continue the work up with your surgeon and he/she will give you the appropriate medical advise.

Risks from Perforated Septum if Left Untreated?

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Answer: Perforated nasal septum

Answer: Perforated nasal septum

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Risks from Perforated Septum if Left Untreated?

Answers (4)

Answer: Perforated nasal septum

Answer: Perforated nasal septum

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