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
Experience 24 years
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Tetzoeva
Zalina Muratovna
Head of the department of otorhinolaryngology, otorhinolaryngologist
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 years
Osipova
Irina Andreevna
ENT doctor
Lapshina Anastasia Andreevna
Experience 11 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 18 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 45 years
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Lopatin
Andrew Stanislavovich
Chief Specialist in Otorhinolaryngology
Portnyagina Maria Pavlovna
Experience 13 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 27 years
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 22 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Petlyov Alexei Anatolevich
Experience 37 years
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Petlyov
Alexei Anatolevich
Otolaryngologist
Punkov Maxim Anatolevich
Experience 20 years
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Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 25 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Timurzieva Alina Borisovna
Experience 12 years
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Timurzieva
Alina Borisovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 11 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Shishmareva Elena Vladimirovna
Experience 27 years
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Shishmareva
Elena Vladimirovna
Otorhinolaryngologist
Kornienko Roman Anatolievich
Experience 27 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 12 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Zosimenko Nina Alexandrovna
Experience 34 years
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Zosimenko
Nina Alexandrovna
Otolaryngologist
Postarnakova Irina Alexandrovna
Experience 8 years
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Postarnakova
Irina Alexandrovna
Otolaryngologist, pediatric otolaryngologist
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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

Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.
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
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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