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

Spiranskaya Olga Aleksandrovna
Experience 18 years
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Spiranskaya
Olga Aleksandrovna
Head of the Otolaryngology Department, Otolaryngologist
Tetzoeva Zalina Muratovna
Experience 24 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 13 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Otorhinolaryngologist
Osipova Irina Andreevna
Experience 25 years
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Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
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
Otorhinolaryngologist, surgeon
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
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
Budeikina Liliya Sergeevna
Experience 11 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
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
Varvyanskaya Anastasia Vladimirovna
Experience 21 year
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 8 years
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Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 13 years
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Chekaldina
Elena Vladimirovna
Otorhinolaryngologist
Samusenkova Ksenia Vladislavovna
Experience 5 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 19 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
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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 10

A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich
A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna
Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
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