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Septal perforation repair is surgery to close a hole in the nasal septum, the wall between the nostrils. The surgeon uses nearby nasal tissue and sometimes a graft to cover the opening. Repair may reduce crusting, bleeding, whistling, or trouble breathing through the nose.
read more about septal perforation repair ...A small perforation without symptoms may need no surgery. Repair may be considered when symptoms persist despite measures such as saline or humidification. The size of the hole, health of the surrounding tissue, and cause of the perforation affect whether surgery is suitable.
The surgeon moves tissue from inside the nose over the perforation. A graft may be placed between tissue layers to support the repair. The technique depends on the hole's size and location.
The nose needs time to heal without pressure or injury to the repaired tissue. Patients may receive instructions for saline care and limits on nose blowing. Follow-up visits allow the surgeon to check healing and remove any temporary supports.
Bleeding, infection, and continued crusting are possible. The repair may fail to close the hole completely or the perforation may return. A graft can also leave discomfort or scarring at the site where it was taken.
No. A perforation that causes little or no trouble may be observed, while saline care or a septal button may help with symptoms.
It is a device placed in the nose to cover the opening. It may be an option when surgery is unsuitable or unwanted.
Yes. Closure is not guaranteed, especially when the perforation is large or the surrounding tissue is unhealthy.
No. Septoplasty straightens a crooked nasal septum, while perforation repair closes a hole in it.
Endoscopic Techniques for Nasal Septal Perforation Repair: A Systematic Review. PubMed. https://pubmed.ncbi.nlm.nih.gov/35676865/. Date Accessed September 30, 2026.
Factors Affecting the Surgical Outcome in Nasal Septal Perforation Repair. PubMed. https://pubmed.ncbi.nlm.nih.gov/37357889/. Date Accessed September 30, 2026.
Repair of Nasal Septal Perforation. Kaiser Permanente. https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.repair-of-nasal-septal-perforation.tu6493. Date Accessed September 30, 2026.
Septal Perforation. StatPearls (NCBI Bookshelf). https://www.ncbi.nlm.nih.gov/books/NBK537208/. Date Accessed September 30, 2026.
Septal perforation. Right Decisions (NHS Scotland). https://www.rightdecisions.scot.nhs.uk/ggc-primary-care/ear-nose-and-throat-ent/ear-nose-and-throat-ent-referral-guidance/nose-conditions/nasal-obstructioncongestion/septal-perforation/. Date Accessed September 30, 2026.