{"id":1138,"date":"2025-06-18T12:33:59","date_gmt":"2025-06-18T09:33:59","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1138"},"modified":"2025-06-18T12:33:59","modified_gmt":"2025-06-18T09:33:59","slug":"septum-perforation-and-rhinoplasty","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/","title":{"rendered":"Septum Perforation and Rhinoplasty"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130ndex<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#What_is_Septum_Perforation_Intranasal_Hole_and_Treatment_Methods\" >What is Septum Perforation? Intranasal Hole and Treatment Methods<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#Prof_Dr_Gediz_Murat_Serin_Explains\" >Prof. Dr. Gediz Murat Serin Explains<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#What_is_Septum_Perforation\" >What is Septum Perforation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#What_Causes_Septum_Perforation\" >What Causes Septum Perforation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#What_are_the_symptoms_of_septum_perforation\" >What are the symptoms of septum perforation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#1Internal_Repair_Nose_hole_closure_surgery\" >1.Internal Repair (Nose hole closure surgery)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#2Combined_Surgery_Perforation_Repair_Aesthetic_Intervention_Rhinoplasty_or_Revision_Rhinoplasty\" >2.Combined Surgery (Perforation Repair + Aesthetic Intervention (Rhinoplasty or Revision Rhinoplasty)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#Why_Is_Rib_Cartilage_Used\" >Why Is Rib Cartilage Used?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#Post-Operative_Recovery_Process\" >Post-Operative Recovery Process<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.gedizserin.com\/en\/septum-perforation-and-rhinoplasty\/#Conclusion_Septum_Perforation_Is_No_Longer_a_Fate\" >Conclusion: Septum Perforation Is No Longer a Fate<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_is_Septum_Perforation_Intranasal_Hole_and_Treatment_Methods\"><\/span><strong>What is Septum Perforation? Intranasal Hole and Treatment Methods<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Prof_Dr_Gediz_Murat_Serin_Explains\"><\/span><strong>Prof. Dr. Gediz Murat Serin Explains<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A hole in the septum, which forms the compartment inside the nose, medically known as\u00a0 <strong>septum perforation<\/strong> , can create many functional and aesthetic problems for patients.\u00a0 As an Ear, Nose and Throat specialist <strong>who has been working in the field of rhinology for nearly 20 years<\/strong> \u00a0, I have focused the last\u00a0 <strong>12 years specifically on septum perforation<\/strong> . My special interest in this area has allowed <strong>us to increase our rate of successfully treating<\/strong> \u00a0this complex problem that very few physicians have studied in depth\u00a0 .<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_is_Septum_Perforation\"><\/span><strong>What is Septum Perforation?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The septum is a structure that divides the nasal cavity into two, consisting of cartilage at the front and bone at the back. A hole that occurs anywhere in this structure is called a \u201cseptum perforation.\u201d This condition is often referred to as a \u201cnasal hole\u201d among the public.<\/p>\n<p>As this hole grows, it can cause significant problems in both the internal structure and external appearance of the nose. Especially as the hole approaches the front of the nose\u00a0 , complaints such as <strong>collapse of the nasal dorsum, sagging of the nasal tip and a whistling sound while breathing<\/strong> \u00a0may develop.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_Causes_Septum_Perforation\"><\/span><strong>What Causes Septum Perforation?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Septum perforation may be related to many different factors rather than a single cause. The most common causes are:<\/p>\n<ul>\n<li><strong>Previous nose surgeries (septoplasty, rhinoplasty)<\/strong><br \/>\nPerforations may occur, especially as a result of bilateral mucosal damage.<\/li>\n<li><strong>Traumas<\/strong><br \/>\nSports injuries, blows or accidents.<\/li>\n<li><strong>Long-term use of nasal sprays<\/strong><br \/>\nUncontrolled use of steroid-containing sprays or vasoconstrictors.<\/li>\n<li><strong>Drug<\/strong><br \/>\nuse, especially cocaine, causes serious damage to nasal tissue.<\/li>\n<li><strong>Infections and autoimmune diseases<\/strong><br \/>\nSome systemic diseases such as septal hematoma, Wegener&#8217;s granulomatosis.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_septum_perforation\"><\/span><strong>What are the symptoms of septum perforation?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Not every hole in the septum may initially cause symptoms. However, as the hole grows or approaches the front of the nose, the following complaints may occur:<\/p>\n<ul>\n<li><strong>Whistling sound when breathing<\/strong><\/li>\n<li><strong>Nasal congestion<\/strong><\/li>\n<li><strong>Dryness and crusting inside the nose<\/strong><\/li>\n<li><strong>Frequent nosebleeds<\/strong><\/li>\n<li><strong>Deformity in nose shape and aesthetic concerns<\/strong><\/li>\n<li><strong>Loss of self-confidence<\/strong><\/li>\n<\/ul>\n<p><strong>How is Septum Perforation Treated?<\/strong><\/p>\n<p><strong>The treatment plan<\/strong> varies depending on many factors such as the location and size of the perforation, the patient&#8217;s level of complaints, and the condition of the external nasal structure. Therefore, an individual approach is required for each patient.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"1Internal_Repair_Nose_hole_closure_surgery\"><\/span><strong>1.Internal Repair (Nose hole closure surgery)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If there is no deterioration in the shape of the nose and no external aesthetic intervention is required, the only goal is to close the perforation. For this purpose:<\/p>\n<ul>\n<li><strong>Nasal mucosal flap techniques<\/strong><\/li>\n<li><strong>Membrane taken from the leg (fascia lata)<\/strong><\/li>\n<li><strong>Rib cartilage and membrane (perichondrium)<\/strong><\/li>\n<\/ul>\n<p>These surgeries are usually<br \/>\nperformed under general anesthesia and patients are usually discharged after 1 day.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2Combined_Surgery_Perforation_Repair_Aesthetic_Intervention_Rhinoplasty_or_Revision_Rhinoplasty\"><\/span><strong>2.Combined Surgery (Perforation Repair + Aesthetic Intervention (Rhinoplasty or Revision Rhinoplasty)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If there is a deterioration in the external nasal structure along with the perforation, then the nose is reconstructed both internally and externally with the revision rhinoplasty approach. It is especially preferred in the following cases:<\/p>\n<ul>\n<li>Collapse of the nasal dorsum<\/li>\n<li>Drooping nose tip<\/li>\n<li>Asymmetry and deformities<\/li>\n<li>Perforation after previous rhinoplasty<\/li>\n<\/ul>\n<p>In these surgeries, intranasal mucosal rotation flaps and <strong>rib cartilage and membrane<\/strong> are often \u00a0used.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_Is_Rib_Cartilage_Used\"><\/span><strong>Why Is Rib Cartilage Used?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Rib cartilage\u00a0 is a tissue that <strong>is extremely strong in terms of strength<\/strong> and can be taken in sufficient quantities. \u00a0It stands out as <strong>the only safe option<\/strong> \u00a0, especially for patients who have had nose surgery before and do not have any usable cartilage left inside\u00a0 .<\/p>\n<p>With rib cartilage:<\/p>\n<ul>\n<li>The support structure of the nose is re-established<\/li>\n<li>The perforation is covered securely.<\/li>\n<li>Aesthetic deformations are corrected<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Post-Operative_Recovery_Process\"><\/span><strong>Post-Operative Recovery Process<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><strong>Silicone supports can be used in the nose for 2-3 weeks<\/strong> \u00a0.<\/li>\n<li><strong>There may be mild tenderness in the rib area<\/strong> \u00a0, but it usually returns to normal within 48 hours.<\/li>\n<li>If aesthetic intervention has also been performed, a splint is applied to the outside of the nose.<\/li>\n<li><strong>The average recovery period<\/strong> \u00a0is 2-4 weeks, and most patients can return to their daily lives within 1 week.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Conclusion_Septum_Perforation_Is_No_Longer_a_Fate\"><\/span><strong>Conclusion: Septum Perforation Is No Longer a Fate<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Having a hole in the nose, that is,\u00a0 <strong>septum perforation<\/strong> , is a serious health problem that disrupts both breathing and aesthetics. However, today, thanks to advanced surgical techniques and individualized approaches,\u00a0 <strong>this condition can be treated permanently<\/strong> .<\/p>\n<p>With my nearly\u00a0 <strong>20 years of experience in rhinology , as a surgeon who has focused on the treatment of septum perforation,<\/strong> especially in recent years,\u00a0 I can clearly say this:<\/p>\n<p>\u201cWith the right patient selection and the right technique, septum perforation can be closed permanently to a large extent.\u201d<\/p>\n<p>If\u00a0 you experience symptoms such as <strong>difficulty breathing, nasal dryness, whistling, or nasal deformity<\/strong> \u00a0, seek professional evaluation without delay.<\/p>\n<p><strong>Prof. Dr. Gediz Murat Serin<\/strong><br \/>\nEar Nose Throat Specialist<br \/>\nRevision Rhinoplasty &amp; Nose Structural Surgery<\/p>\n<p><em>\u201cDifficult noses require meticulousness.\u201d<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is Septum Perforation? Intranasal Hole and Treatment Methods Prof. Dr. Gediz Murat Serin Explains A hole in the septum, which forms the compartment inside the nose, medically known as\u00a0 septum perforation , can create many functional and aesthetic problems for patients.\u00a0 As an Ear, Nose and Throat specialist who has been working in the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1139,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1138","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/comments?post=1138"}],"version-history":[{"count":2,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1138\/revisions"}],"predecessor-version":[{"id":1141,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1138\/revisions\/1141"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1139"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1138"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1138"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}