Dangerous to have septal perforation?

Question

For my 2nd revision 2 months ago my dr discovered a black hole. He took out my shifted L implant, replaced with alloderm to bridge and didnt want to use foreign materials becayse i had the hole and the e es high infection risk . He didnt fixed my perforation and avoided to touch the area. Is it dangerous to have a black hole? I function n breathe normally. I had ear/septum cartilage in my nose + L implant in the past and either of my previous nose jobs caused nasal perforation

Anil R. Shah, MD · Answer

Greetings,Septal perforation repair is one of the most difficult procedures to perform. 
I developed a procedure to repair large septal perforations utilizing a pericranial flap.  The use of this flap can help close larger perforations.  Here are some methods of closure of septal perforation based on size:
-Small (pinpoint)- not advised to fix small perforations, especially asymptomatic perforations that are stable.  These should be observed.  The risk of the procedure of increasing size after repair
-Medium perforations- The use of a variety of techniques can be employed such as sliding flaps (can only repair perforations reliably at 1.5 cm), turbinate flaps (smaller perforations), and endoscopic rotational flaps (less than 1.5 cm) can be utilized.
-Large perforations- The use of pericranial flaps (see above) and free flaps (requires ICU stay) are the only 2 options.  I have had great success utilizing pericranial technique (see video below) to repair septal perforations.

Best, 
Anil Shah MD

Samir Undavia, MD · Answer

Septal perforations aren't dangerous in the typical sense.  But they can cause symptoms, based on their location and size, including bleeding, crusting, nasal obstruction and changing of the shape of the nose. The most common cause is precious septal surgery. It's best for you to have this evaluated by someone with experience in septal perforations, so you can decide if something should be done about it.

Good luck!

Dangerous to have septal perforation?

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Dangerous to have septal perforation?

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