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Perforations of the Septum

By

Marvin P. Fried

, MD, Montefiore Medical Center, The University Hospital of Albert Einstein College of Medicine

Medically Reviewed Dec 2021 | Modified Sep 2022
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Inside the nose is the nasal cavity, which is divided into two passages by the nasal septum. The nasal septum is composed of both bone and cartilage and extends from the nostrils to the back of the nose.

Ulcers (sores) and holes (perforations) in the nasal septum may occur as a result of

Symptoms of Perforations of the Septum

Symptoms may include crusting around the ulcer or perforation and repeated nosebleeds. People who have small perforations in the septum may make a whistling sound when they breathe.

Diagnosis of Perforations of the Septum

  • A doctor's evaluation

Doctors examine the front part of the nose and, to view septal perforations, insert an endoscope (a flexible viewing tube) into the nose.

Treatment of Perforations of the Septum

  • Medicated ointment or saline nasal spray for ulcers

  • Rarely surgery for perforations

For septal ulcers, bacitracin ointment or mupirocin ointment reduces the crusting, as may saline nasal spray.

Doctors can sometimes surgically repair septal 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.

Drugs Mentioned In This Article

Generic Name Select Brand Names
No brand name available
No brand name available
4-Way Nasal, Ah-Chew D, AK-Dilate, Anu-Med, Biorphen, Formulation R , Gilchew IR, Hemorrhoidal , Little Remedies for Noses, Lusonal, Mydfrin, Nasop, Nasop 12, Neofrin, Neo-Synephrine, Neo-Synephrine Cold + Allergy, Neo-Synephrine Extra Strength, Neo-Synephrine Mild, Ocu-Phrin, PediaCare Children's Decongestant, PediaCare Decongestant, PediaCare Infants' Decongestant, Sinex Nasal, Sudafed PE, Sudafed PE Children's Nasal Decongestant , Sudafed PE Congestion, Sudafed PE Sinus Congestion, Sudogest PE, Vazculep
12 Hour Nasal , Afrin, Afrin Extra Moisturizing, Afrin Nasal Sinus, Afrin No Drip Severe Congestion, Dristan, Duration, Genasal , Mucinex Children's Stuffy Nose, Mucinex Full Force, Mucinex Moisture Smart, Mucinex Sinus-Max, Mucinex Sinus-Max Sinus & Allergy, NASAL Decongestant, Nasal Relief , Neo-Synephrine 12-Hour, Neo-Synephrine Severe Sinus Congestion, Nostrilla Fast Relief, Reliable-1 12 hour Decongestant, RHOFADE, Sinex 12-Hour, Sudafed OM Sinus Cold Moisturizing, Sudafed OM Sinus Congestion Moisturizing, Upneeq, Vicks Qlearquil Decongestant, Vicks Sinex, Vicks Sinex Severe, Visine L.R., Zicam Extreme Congestion Relief, Zicam Intense Sinus
GOPRELTO, NUMBRINO
AK-Tracin, Baciguent, BaciiM, Baci-Rx, Ocu-Tracin
Bactroban, Centany, Centany AT
NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
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