Restoring Nasal Health

A septal perforation, often referred to as a "hole in the septum," occurs when a break in the wall divides the nose into two cavities. This condition can lead to complex problems, including chronic dryness, crusting, bleeding, soreness, whistling, and nasal obstruction. If left untreated, it may become infected, giving rise to further complications involving the sinuses, bronchial passages, and lungs. Septal perforation repair with Dr. Lee Ann Klausner in Manhattan can restore your nasal health and prevent other complications.

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How Do I Know If I Have a Perforated Septum?

The nasal septum typically consists of a solid wall composed of cartilage and bone. A perforation disrupts this normal structure, causing a disturbance in the streamlined nasal airflow. Patients may experience dry, irritated nasal membranes, soreness, bleeding, and excessive crusting that can obstruct breathing. The three layers of the nasal septal wall—nasal mucosa on both sides and cartilage/bone in between—must be disrupted for a perforation to occur.

Septal Perforation Repair Before & After

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Lee Ann M. Klausner, MD, FACS Septal Perforation

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Causes of Septal Perforation

  • Complication of septoplasty
  • Nasal trauma
  • Chronic use of over-the-counter nasal decongestants
  • Excessive cauterization for recurrent nosebleeds
  • Chronic cocaine use/abuse
  • Chronic nasal picking
  • Autoimmune causes
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Dr. Klausner’s Repair Technique

Septal perforation repair is a technically demanding procedure, and few surgeons possess the training and expertise to perform it successfully. Dr. Klausner employs an open approach to repair the septum in layers, dissecting the mucosa above and below the perforation and advancing four flaps to cover the hole. Internally, Alloderm is used to support this meticulous repair. The procedure is typically done in the ambulatory setting, with follow-up appointments scheduled in Dr. Klausner’s office. In some cases, septal perforation repair may be performed in conjunction with nasal reconstruction, rhinoplasty, revision rhinoplasty, or functional endoscopic sinus surgery.

What Should I Do if I Suspect a Perforated Septum?

If you suspect a septal perforation, it is crucial to seek prompt medical attention. Ignoring this condition can lead to chronic pain, difficulty breathing, and further complications, emphasizing the importance of addressing nasal injuries promptly for proper healing.

Contact Dr. Klausner's NYC office to schedule a consultation and discuss personalized treatment plans tailored to your unique needs. Our team is dedicated to providing expert care for nasal conditions, ensuring the best outcomes for our patients' health and well-being.

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How is septal perforation diagnosed?

Septal perforation is diagnosed through a comprehensive examination conducted by Dr. Klausner. The assessment may involve inquiries about your medical history and the circumstances of the injury. Physical examination may include checking for signs like bruising, swelling, and a deviated septum. Dr. Klausner may use diagnostic tools to evaluate the extent of the perforation and determine the most appropriate course of action.

What happens when septal perforation goes untreated?

Ignoring a septal perforation can lead to various complications, including chronic dryness, crusting, bleeding, soreness, and nasal obstruction. Untreated septal perforations may become infected, potentially causing complications in the sinuses, bronchial passages, and lungs. Additionally, bones in the nasal septum may heal abnormally, resulting in cosmetic concerns.

What are the risks associated with septal perforation repair?

Septal perforation repair is a technically challenging procedure. While it is highly effective in addressing the symptoms and complications of septal perforation, like any surgery, it involves certain risks. These risks may include infection, bleeding, and potential issues related to the use of grafting materials. Dr. Klausner will thoroughly discuss these risks during the consultation and ensure you are well-informed before proceeding with the repair.

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Septal Perforation Repair Frequently Asked Questions

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