Ulcers (sores) and holes (perforations) in the nasal septum may occur as a result of
Symptoms may include crusting around the nostrils and repeated nosebleeds. People who have small perforations in the septum may make a whistling sound when they breathe.
Doctors examine the front part of the nose and, to view perforations, insert an endoscope into the nose.
For ulcers, bacitracin ointment or mupirocin ointment reduces the crusting, as may saline nasal spray. Doctors can sometimes surgically repair perforations using a person's own tissue from another part of the nose or with an artificial membrane made of a soft, pliable plastic. Most perforations do not need to be repaired unless bleeding or crusting is a major problem.
Last full review/revision September 2014 by Marvin P. Fried, MD