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SEPTUM PERFORATION (HOLE IN NOSE WALL)

Septum perforation; It refers to the subsequent holes in the nasal septum, which divides the nasal cavity into two, consisting of bone in the back and cartilage in the front. The most common cause of septum perforation is the negativities that occur during the smoothing period after nose surgery. It is a complication that can be seen around 1% of the time after septoplasty operations. The occurrence of septum perforation after nose surgery is a sad situation for both the patient and the physician. Apart from nasal surgeries, septum perforation may occur due to nasal traumas, various infections and rarely oncological diseases. Septal perforation may also develop in individuals using cocaine.

Septum perforations are examined in 3 parts according to their size. Those smaller than 0.5 cm are called small perforations, those in the middle of 0.5-2 cm are called medium-sized, and those larger than 2 cm are called large perforations. Nasal congestion, nosebleeds and wind noise while breathing are the most common complaints in people with septum perforation. If the perforation is small and located posteriorly, it usually does not cause any complaints and does not require treatment. However, anterior perforations are a cause for complaint.

There are many surgical methods defined for the repair of septum perforations. However, as the size of the perforation grows, the chance of success decreases. In general, there is an opinion that the chances of success in the surgeries of septum perforations are low. But this is not the truth.

There is a surgical method we have developed to repair septum perforations. In this way, we close the hole by using the healthy tissues in the nose. In the last 6 years, we have operated on more than 80 patients with this system. We were able to close the septum perforation in all patients except 5 of our patients. In these 5 patients we were unsuccessful, the hole size became smaller than 0.5 cm and the complaints of the patients disappeared. Among the patients we operated and were completely successful, there were patients with septum perforation of 3 cm in size. The most valuable element in the success of this surgery is the healthy covering that we call the mucous membrane that covers the inside of the nose.

In conclusion, the development of septum perforation is a not very rare complication after rhinoplasty and it can be surgically repaired.

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