Septal Perforation Repair
In Boise, ID
Price: Insurance-based service
Average Procedure Time: 2 hours
Recovery Time: 1-2 weeks
Introduction
Septal Perforation Surgery
A septal perforation is a hole in the septum—the vertical partition that separates the nose into left and right sides. Composed of bone and cartilage, the septum is lined on both sides by soft tissue and mucosa. Perforations can occur due to a variety of factors, including nasal trauma, drug use (especially cocaine), frequent nasal sprays, infections, surgeries, or repeated cauterizations for nosebleeds.
Symptoms of a septal perforation can range from difficulty breathing and congestion to whistling sounds, crusting, nosebleeds (epistaxis), and a persistent runny nose. In more severe cases, perforations can compromise the nose’s structure, particularly when they affect the front or bridge of the nose.
How is Septal Perforation Repaired?
The repair is often done through an endonasal (closed) approach, meaning no external incisions are made. For larger perforations, an open approach may be required, involving a small incision between the nostrils, which heals well and is unnoticeable.
Techniques may include a combination flaps, cartilage or fascia grafts, or dissolvable materials to serve as a foundation for the septum to regrow and fill in the perforation.
A septal button is a discreet, soft plastic plug designed to comfortably fill the hole in the septum. Virtually invisible to others, it is typically painless, though some patients may occasionally feel minor discomfort. One of the great advantages is its flexibility—it can be easily removed and replaced if needed. Dr. Gray offers a range of septal buttons and can even create a custom-fit option to ensure the best possible result for each patient.
Gallery
Before & After Photos →Why choose Dr. Gray for your nasal surgery?
Choosing a qualified facial plastic surgeon is critical for excellent results. Given that Septal Perforation Repair is considered a challenging nasal surgery, it is imperative that you make an informed decision.
Dr. Gray is one of the only Fellowship-trained Facial Plastic and Reconstructive Surgeons in Idaho with dual training in Otolaryngology – Head and Neck Surgery (ENT). This training pathway allows for the highest level of specialization regarding both the functional and cosmetic aspects of nasal surgery.
SEPTAL PERFORATION REPAIR FAQs
The likelihood of a septal perforation healing on its own depends on the size and location of the tear, but complete healing without treatment is generally uncommon. In fact, if left untreated, a perforated septum can become infected, potentially enlarging the hole and worsening the condition.
The primary risk associated with septal perforation repair is the possibility that the graft or flap may not successfully integrate, despite surgical efforts, resulting in a persistent perforation that may be smaller or unchanged in size. Regrettably, this outcome is relatively common in septal perforation repairs, necessitating further revision surgery.
After surgery, plastic or silicone splints will likely be placed in your nose for 14 days to aid healing. You should plan to take several days off work and avoid strenuous activity for a few weeks during recovery.
Yes, insurance typically covers septal perforation repair, but each plan varies in terms of copay and deductible. Additionally, prior authorization for surgery is often required, a process with which our office can provide assistance.