Septoplasty: Perforated Septum Risk?

Having a perforated septum is relatively rare. It is a low risk after septoplasty surgery, estimated to be less than 1%. There are many factors which increase the risk of developing a hole in the septum:

  • revision nasal surgery
  • broken nose, or nasal / facial trauma
  • nasal piercing
  • severely deviated septum, usually from trauma
  • drug or cocaine use
  • chronic nasal decongestant use
  • nasal infection
  • other medical conditions: radiation, cancer, autoimmune disorders, etc

A deviated septum is not the only cause of nasal or sinus symptoms of nasal congestion / obstruction. Only after a comprehensive nasal evaluation can a nasal rhinoplasty surgeon best advise regarding treatment options for a deviated septum. One must carefully follow the facial plastic surgeon’s postoperative care instructions too.

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