Nasal Septum Perforation
Nasal Septum Perforation

Nasal septum perforation, a condition with a hole in the septum, can significantly impact one’s quality of life.
Dr. Paulo A. Escobar specializes in treating this condition, offering advanced solutions at his clinic in Dubai.
This comprehensive guide will explore the causes, treatment options, and frequently asked questions regarding nasal septum perforation.
Understanding Nasal Septum Perforation
The nasal septum, comprising a delicate structure of cartilage and bone, is partitioned between the nostrils.
A hole or perforation in this septum can lead to symptoms such as nosebleeds, nasal congestion, whistling sound during breathing, and increased susceptibility to infections.
Causes of Nasal Septum Perforation
Several factors can contribute to a perforated septum, including:
- Repeated nosebleeds: Frequent nosebleeds can damage the septum over time, leading to perforation.
- Cocaine use: Cocaine shrinks and damages blood vessels, increasing the risk of perforation.
- Septoplasty: This surgery to correct a deviated septum can sometimes lead to perforation as a complication.
- Nasal sprays: Overuse of certain nasal sprays, particularly steroid sprays, can weaken the nasal septum and increase the risk of perforation.
- Trauma: A facial injury or surgery to the nose can damage the septum.
- Environmental factors: Exposure to dry air or irritants can dry out and damage the nasal lining, making it more susceptible to perforation.
- Other Causes: autoimmune diseases, infections
Early Signs and Symptoms of Perforation
A perforated septum may not cause any noticeable symptoms in some cases. However, if you experience any of the following, it’s essential to consult an ENT specialist like Dr. Paulo A. Escobar:
- Whistling sound while breathing
- Crusting of the nasal passages
- Difficulty breathing, primarily through one nostril
- Frequent nosebleeds
- Facial pain
- Facial numbness (in rare cases)
- Recurrent headaches
Diagnosis of Septum Perforation

In the diagnostic process for septum perforation, Dr. Escobar thoroughly reviews the patient’s medical history, encompassing past medical procedures and lifestyle factors.
A comprehensive physical examination of the nose is conducted, with additional procedures like nasal endoscopy or rhinoscopy often performed.
If warranted, Dr. Escobar may suggest a nasal culture or even a biopsy for further laboratory analysis, mainly if an underlying medical condition is suspected.
Treatment Options for Nasal Septum Perforation in Dubai
The treatment for nasal septum perforation depends on the size and severity of the hole and your symptoms.
Dr. Paulo A. Escobar will conduct a thorough examination and discuss your medical history to determine the best course of action. Here’s an overview of potential treatment options:
Conservative Management: For small perforations with no significant symptoms, Dr. Escobar might recommend conservative measures like saline irrigation and maintaining proper humidity to keep the nasal passages moist.
Septum Perforation Surgery: Nasal septum perforation surgery aims to mend the hole, employing a flap sourced from nasal tissue or an autograft from elsewhere in the body.
The procedure, typically performed under general anesthesia, adapts to hole size and location through either closed or open surgery approach.
Risks of Nasal Septum Perforation
As with all surgical procedures, septum perforation repair carries potential risks and complications, such as:
- Bleeding
- Infection
- Altered nasal sensation
- Persistent or recurring perforation
- Scarring and impaired wound healing
Frequently Asked Questions (FAQs)
After surgery, your nose will be bandaged with a splint for 5 to 7 days. Complete immediate recovery typically takes 2 to 3 weeks. Expect nasal discharge upon bandage removal. Rinsing with saline solution aids healing. Avoid blowing your nose, leaning forward, or doing strenuous activity initially.
The success of surgery hinges on perforation size and post-operative care. Smokers, active cocaine users and diabetics may experience lower success rates due to potential limitations in blood flow to the septum.
In some cases, very small perforations may heal independently with conservative management. However, larger perforations often require medical intervention.

As a member of the International Federation of Facial Plastic Surgery and the European Academy of Facial Plastic Surgery, you can trust that you are in expert hands with Dr Paulo A. Escobar. He is a distinguished ENT Specialist and Plastic Surgeon with over 15 years of experience.
Breathe Easier with Dr. Paulo A. Escobar in Dubai
If you’re experiencing symptoms of a perforated septum or have concerns about your nasal health, Dr. Paulo A. Escobar can provide expert diagnosis and treatment options in Dubai. Book your appointment now and initiate your journey towards improved breathing today.
Book an appointment now.