Treatment of perforation of the nasal septum

A perforation is a through hole in the nasal septum. It usually forms against the background of various injuries.
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Causes and symptoms of perforation of the nasal septum

In 90% of cases, perforation develops after septoplasty. This condition also occurs against the background of nasal injuries and uncontrolled use of vasoconstrictors. In addition, people who use local drugs (for example, cocaine) are at risk.

The main sign indicating perforation is difficulty in nasal breathing, accompanied by a characteristic whistle.

As the defect increases, mucus or blood mixed with pus is released from the nose. The skin on the front of the nose and tip becomes red and swollen. Additionally, symptoms of intoxication often occur: the temperature rises to 38.5 °C. General weakness is combined with a painful headache.

Causes and symptoms of perforation of the nasal septum

Diagnosis of perforation of the nasal septum

First, the otolaryngologist performs an endoscopic examination. This method allows not only to confirm the presence of perforation, but also to estimate its size.

In addition, in order to exclude autoimmune diseases and the presence of neoplasms, a biopsy is performed. In this case, the specialist takes a sample of the patient’s mucous membrane.

  • Blood tests They help identify possible systemic causes of perforation.
  • Smear for pathogenic flora It is carried out to determine the pathogen.
  • Computed tomography (or ultrasound) This procedure allows you to assess the condition of the paranasal sinuses.

Features of therapy

For small perforations, conservative therapy is carried out. It involves cleansing the nasal passages with antiseptic solutions. If an infection is detected, the patient is prescribed antibacterial therapy. Additionally (if necessary), correction of concomitant diseases is carried out.

If medium-sized perforations (2.5-3.5 cm) are detected, surgery is prescribed. In the process, the specialist cuts out a flap with a vascular pedicle from the patient’s nasal mucosa. The tissue is moved to the defect area and sutured - thereby the doctor closes the resulting hole. The place from which the flap was taken is restored with new mucosa over time.

Rehabilitation after surgery generally takes 1-2 weeks. During this time, it is prohibited to blow your nose and use vasoconstrictors. If pain occurs, it is permissible to use analgesics prescribed by a doctor.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
All specialists
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Price

Reception
Price
Plastic surgery of perforation of the nasal septum, 1st degree of complexity
from 81 700 ₽
Plastic surgery of nasal septum perforation, 2nd degree of complexity
from 122 000 ₽

Reviews 6

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
I came to Yulia Alexandrovna with otitis media. She cured me quickly, it was even strange. It always seemed that in paid clinics everything was structured so that the patient would undergo as many different tests as possible and come to appointments as often as possible. The doctor prescribed me medications, gave me instructions and that was the end of it, because after a few days I felt better. Thank you for your individual approach, attention and quality knowledge.
12.07.2024
Regina
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
01.05.2024
Gorlachev Pavel Dmitrievich
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