The kind of treatment that will be prescribed or performed on the patient will vary depending on the location and size of the perforation, as well as the patient’s present physical condition.
Septal perforation is sometimes treated topically with the help of prescribed saline nasal solutions, antibiotics, ointments, or humidification techniques to manage symptoms. However, surgical treatment is still the best long-term solution for the closure of septal perforations.
There are two ways of closing a nasal perforation through surgery: the installation of a nasal septal prosthesis, or by repairing the perforation with rotation of adjacent nasal lining and the use of grafts.
When closing septal perforation with a prosthesis, Dr. Sedgh will first decongest the nasal cavity and administer anesthesia. He will then use a prosthetic “button” made of safe, bio-compatible materials to cover up the hole and restore proper airflow.
Alternatively, Dr. Sedgh can also repair the perforations by rotation and advancement of nasal linings and application of a thin layer of fascia or synthetic graft as a patch in between the reconstructed layers.
In some cases, septoplasty may also be performed in conjunction with this procedure to straighten the septum around the perforation prior to the perforation repair.