The complication of nasal septum perforation in rhinoplasty

Nasal septum perforation due to rhinoplasty surgery

Complications of nasal septum perforation | We all know the harmful effects of cocaine on the nose. Indiscriminate and excessive use of cocaine can cause a cavity on the nasal septum. The nasal septum is a boundary layer that separates the left and right nasal passages from each other. This membrane is formed from cartilage on the front side and bone on the back side.

Infection, foreign substances, breathing chemical gases and some diseases can lead to injury and even perforation of this sensitive blade.. Of course, the obsession with cleaning and draining the nose can also damage the nose and its middle membrane. Unfortunately, most of the time, perforation of this membrane does not cause any symptoms. But there is a way to find out if the nasal septum is damaged. If the middle wall of your nose is pierced, you may hear a whistling sound from your nose when you breathe.

But in addition to the whistling sound, other symptoms such as burning, bleeding, or even difficulty breathing, as well as pain in the nose, can also be considered as symptoms of this injury.. But what makes this issue more complicated is that this membrane is made up of three layers and if it is punctured, all three layers of this membrane will be damaged and punctured..

A study by Professor Belachew Tessema

Professor (Belachew Tessema) who works as an ear, nose and throat specialist in an ear, nose and throat medical service center, has stated in a study about 40 The percentage of holes created in the septum of the nose is due to surgery or cosmetic surgery, which usually results in this injury.. But it is also possible that these holes are the result of other surgeries such as rhinoplasty with the aim of improving nasal deviation or polyp surgery and sinus surgery..

Holes created on the nasal septum, if left untreated, grow larger and larger until they extend down to the lower edge of the nose.. Therefore, if you see this problem, it is necessary to see an otolaryngologist as soon as possible.

Primary treatments for this disease include moistening the nose with water or special humidifiers. But the most common treatment for perforation of the middle wall of the nose is the use of pressure flakes. These flakes consist of two pieces of plastic and silicone, which are placed on both sides of the blade hole and then inserted into each other and locked.. Use these restorative flakes to improve the hole created in the middle wall of the nose.

reasons

Nasal septum perforation may occur for several reasons. Physical injuries such as sports injuries, nose surgeries including septoplasty (Treatment of deviated nasal septum) Or رینوپلاستی (rhinoplasty) And sometimes the loss of cartilage in the nose due to disease or inhalation of chemicals through the nostrils (Like cocaine) Occurs may lead to such a complication. Of course, it goes without saying that in rare cases, cancer also causes nasal septum perforation. Hanging a nose ring is also one of the cases that causes a hole in the nasal septum.

Problems caused by nasal septum perforation

The breathing of people who have a pierced nasal septum is usually accompanied by a whistling sound. Pain, discomfort and in some cases frequent infection are common symptoms of this disease. According to patients, symptoms such as nosebleeds, nasal scaling, and breathing disorders are usually caused by nasal septum perforation. If left untreated, the hole may grow larger and lead to more serious problems.

Consulting

Septum hole repair is a very delicate and complex procedure and requires sufficient skill and precision. The reason for this is that there is not only one type of septum hole 3 There are types of pierced nasal septum that should be investigated and treated when they occur: Holes in the septum and holes that occur on the sides of the protective membrane covering the septum.

The first step in nasal septum repair surgery is to refer to one Experienced nose surgeon Is. After confirming all the facts, the surgeon provides his treatment plan in brief to the patient. This helps the patient to know exactly what to expect from the surgery. The type of anesthesia usually determines the details of the recovery period.

The treatment of

Good hygiene is the first, and often the only, step needed for patients with mild problems associated with nasal septum piercing.. In such a situation, in order to prevent the accumulation of nasal bacteria, it is better to rinse the nostrils frequently with salt solution. Most doctors recommend to patients the use of a special gel for cleaning the nasal environment and preventing excessive scaling of the mucous membranes..

In cases where the blade hole is large and causes problems such as acute infection and nasal structure collapse, surgery becomes necessary.. The treatment method usually depends on the size and severity of the nasal septum hole. During the initial consultation, the surgeon must carefully evaluate the nasal septum hole in order to determine the appropriate type of surgical procedure.

Surgery

Small holes are completely closed with stitches, but larger holes are usually repaired with tissue grafts.. The graft may be prepared from the patient's ear or rib tissues and attached to the tissues around the nasal septum hole. Since predicting the final result is usually not an easy task, repairing the nasal septum hole will be associated with a special challenge.

A very important point is that there is no guarantee that the blood flow will return to the nasal structures after the surgery, so the nasal septum may be exposed to perforation again due to impaired blood circulation.. Using prostheses on both sides of the nostrils is one of the other ways to restore proper airflow to the nose. Since this method of maintaining the prosthesis requires long-term care, patients are less accepting of it..

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