Had septal perforation repaired and anxious about possible reopening?

Question

28F, 125lbs. Had repair on 1cm perforation in Nov 2023. Doc did flaps and AlloDerm method to close the hole and also had turbinate reduction. I get really bad anxiety because I still get congested & boogers. I do use saline spray and use Aquaphor to keep things moist but when I shine my light up there I feel like i see small pinholes possibly where the sutures were. Also seems like the septum is really thin behind where the hole was? Is it possible the hole will reopen?

Eric M. Joseph, MD · Answer

If the septal perforation repair is going to fail, it would typically manifest itself as a persistent perforation within three months of surgery. As long as you're not excessively manipulating the inside of your nose or using topical decongestants, you should be fine. If you would like further clarity, please consider visiting your surgeon or another reputable otolaryngologist. I hope this helps. Sincerely, Dr. Joseph

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