Perforated septum (hole in skin between nostrils)


Description

The nasal septum separates the two sides of the nasal cavity. It is composed of cartilage and bone and is covered by mucous membrane. Many conditions can cause a hole (perforation) of the septum including trauma, drug abuse (cocaine), infections (tuberculosis, syphilis), nasal surgery, cancer, or nose picking.

Symptoms

Nasal irritation, dryness and crusting, air blowing past it whistles, picking at the crusts can cause bleeding.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Nasal "endoscopy" is an inspection by camera that is done by an ear nose and throat specialist.

Specialists:
Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology)

Treatment

Some patients with a perforated septum do not need treatment, others require surgery. Nasal saline sprays may control symptoms.
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