Will a perforated septum get worse if left alone?

Question

I have a hole and I feel like I don't have any major symptoms other than I feel a pressure. If I leave it alone will it get worse? I feel like I am only breathing out of one nostril. Without segery will I ever gain my other nostril back? I don't want my nose to clapse it I don't treat the issue.

Anil R. Shah, MD · Answer

Surgery can help improve the sensation of breathing but trying nasal emollients first is the best option.  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.

Afshin Parhiscar, MD · Answer

Dear whatsgoingonIt depends, if you perforation was subsequent to a single invasive event, like surgery, it is unlikely to progress. If its due to multiple medical insults, such as cocaine use, it is more likely to progress.You should see a well trained ENT or plastic surgeon to have your septum assessed.

Christopher Cote, MD · Answer

The quick answer to this is maybe.  It depends on the cause of the hole in the nasal septum.  The most common causes include prior trauma, surgery, nose picking, aggressive medication use or drug use.  There are some other less common causes too.  Symptoms can vary also from none to horrible congestion or nosebleeds.  This should have an evaluation to determine if a biopsy is necessary and assess compounding factors.  Sometimes, regular follow-up is an option.  Surgery is an option too and can also be a challenging consideration, so work with someone who has a lot of experience with this condition.

Remus Repta, MD · Answer

Thank you for the question. Septal perforations (hole) that are asymptomatic can be left alone. Using products to improve the humidity in your nose may help with some mild symptoms.  If the support of the nose because an issue, using rib cartilage will be needed to reconstruct the support system.All the best,Dr. Remus Repta

Will a perforated septum get worse if left alone?

Answers (4)

Answer: Nasal septal perforation (hole)

Answer: Nasal septal perforation (hole)

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Will a perforated septum get worse if left alone?

Answers (4)

Answer: Nasal septal perforation (hole)

Answer: Nasal septal perforation (hole)

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Everything you need to know about Rhinoplasty

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