{"id":1493,"date":"2026-01-15T13:54:32","date_gmt":"2026-01-15T10:54:32","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1493"},"modified":"2026-01-15T13:57:15","modified_gmt":"2026-01-15T10:57:15","slug":"what-is-revision-septal-perforation-repair","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/","title":{"rendered":"What is Revision Septal Perforation Repair ?"},"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\/what-is-revision-septal-perforation-repair\/#Prof_Dr_Gediz_Murat_Serin_%E2%80%93_Ear_Nose_and_Throat_Specialist\" >Prof. Dr. Gediz Murat Serin \u2013 Ear, Nose and Throat Specialist<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#What_is_Revision_Septal_Perforation\" >What is Revision Septal Perforation?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#Why_is_Revision_More_Difficult\" >Why is Revision More Difficult?<\/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\/what-is-revision-septal-perforation-repair\/#What_is_Considered_When_Making_the_Surgery_Decision\" >What is Considered When Making the Surgery Decision?<\/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\/what-is-revision-septal-perforation-repair\/#Why_are_Substance_Use_and_Smoking_Important\" >Why are Substance Use and Smoking Important?<\/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\/what-is-revision-septal-perforation-repair\/#Is_it_Always_Done_from_Inside_the_Nose\" >Is it Always Done from Inside the Nose?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#Who_is_Revision_Septal_Perforation_Surgery_Suitable_For\" >Who is Revision Septal Perforation Surgery Suitable For?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#Conclusion\" >Conclusion<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#About_Me\" >About Me<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#1-Does_this_surgery_definitely_close_the_hole\" >1-Does this surgery definitely close the hole?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#2-Why_is_revision_surgery_more_difficult\" >2-Why is revision surgery more difficult?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#3-Is_the_surgery_performed_on_everyone\" >3-Is the surgery performed on everyone?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#4-How_long_does_the_surgery_take\" >4-How long does the surgery take?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#5-Is_there_pain\" >5-Is there pain?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#6-Is_hospitalization_required\" >6-Is hospitalization required?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#7-How_long_does_healing_take\" >7-How long does healing take?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#8-When_can_I_return_to_work\" >8-When can I return to work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.gedizserin.com\/en\/what-is-revision-septal-perforation-repair\/#9-Is_this_cosmetic_surgery\" >9-Is this cosmetic surgery?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Prof_Dr_Gediz_Murat_Serin_%E2%80%93_Ear_Nose_and_Throat_Specialist\"><\/span>Prof. Dr. Gediz Murat Serin \u2013 Ear, Nose and Throat Specialist<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Holes in the nasal septum are commonly called <em>nasal holes<\/em>, and medically referred to as <strong>septal perforation<\/strong>. Repairing this hole is one of the most difficult and delicate operations in nasal surgery. If this hole has been previously operated on but could not be closed \u2014 meaning a <strong>revision septal perforation<\/strong> is involved \u2014 the surgery becomes much more difficult both technically and biologically.<\/p>\n<p>Because in this case, there is not just a hole; there is tissue that has been previously exposed to surgery, has reduced blood supply and impaired healing capacity.<\/p>\n<p>In this article, I want to explain in simple and understandable terms what revision septal perforation repair is, why it is difficult, who it is suitable for, in which situations the risk increases, and what should be considered.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_Revision_Septal_Perforation\"><\/span><strong>What is Revision Septal Perforation?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Revision septal perforation is the second or subsequent repair surgery performed for nasal holes that have been previously attempted to be closed surgically but have reopened or never closed at all.<\/p>\n<p>In such cases, the problem is often not the hole itself, but that the tissue around the hole is no longer healthy.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_is_Revision_More_Difficult\"><\/span>Why is Revision More Difficult?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Because in revision cases generally:<\/p>\n<ul>\n<li>The tissue has been previously cut, moved or stretched.<\/li>\n<li>Its blood supply has been impaired.<\/li>\n<li>Permanent sutures or rigid materials may have been left inside.<\/li>\n<li>The nasal skeleton may have weakened or collapsed.<\/li>\n<\/ul>\n<p>Therefore, each revision case is evaluated separately; there is no standard surgery.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_is_Considered_When_Making_the_Surgery_Decision\"><\/span>What is Considered When Making the Surgery Decision?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>When planning revision septal perforation repair, the following factors are definitely evaluated:<\/p>\n<ul>\n<li>Location of the hole (anterior, posterior, superior, inferior),<\/li>\n<li>Quality and vitality of the surrounding tissue,<\/li>\n<li>How many times surgery has been performed previously,<\/li>\n<li>Whether a flap (tissue advancement) was performed previously,<\/li>\n<li>Whether grafts or permanent sutures were placed inside,<\/li>\n<li>History of smoking and substance use.<\/li>\n<\/ul>\n<p>Particularly perforations located in the anterior-superior region are more risky both functionally and aesthetically.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Why_are_Substance_Use_and_Smoking_Important\"><\/span>Why are Substance Use and Smoking Important?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Substances inhaled through the nose (especially cocaine) directly destroy the mucosa, constrict blood vessels and prevent healing. Smoking similarly impairs tissue blood supply.<\/p>\n<p>If these habits continue, no surgery performed will be permanent. This is a biological failure, not a technical one.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Is_it_Always_Done_from_Inside_the_Nose\"><\/span>Is it Always Done from Inside the Nose?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>No. In some cases, working only from inside the nose is not sufficient. Especially when:<\/p>\n<ul>\n<li>Tissue is insufficient,<\/li>\n<li>Nasal support has collapsed,<\/li>\n<li>There is simultaneous nasal deformity,<\/li>\n<li>Safe access to the anterior-superior region is needed,<\/li>\n<\/ul>\n<p>it may be necessary to work by also opening the nose from the outside. This is not for aesthetic purposes; it is to solve the problem safely, in a controlled manner and permanently.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Who_is_Revision_Septal_Perforation_Surgery_Suitable_For\"><\/span>Who is Revision Septal Perforation Surgery Suitable For?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Patients with significant complaints,<\/li>\n<li>Those whose tissue condition is suitable for surgery,<\/li>\n<li>Those who have stopped substance use,<\/li>\n<li>Non-smokers or those who have quit,<\/li>\n<li>Patients with realistic expectations.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Revision septal perforation repair:<\/p>\n<ul>\n<li>Is not a standard surgery,<\/li>\n<li>Cannot be applied the same way to everyone,<\/li>\n<li>Requires experience, planning and correct patient selection.<\/li>\n<\/ul>\n<p>Therefore, it is very important that this surgery is planned in centers that specifically work on this subject and have experience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"About_Me\"><\/span>About Me<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prof. Dr. Gediz Murat Serin is an Ear, Nose and Throat and Head-Neck Surgery specialist. He particularly works on septal perforation repair, revision nasal surgery and functional nasal problems. In his clinical practice, he applies multilayer repair techniques and personalized surgical planning in perforation repairs.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"1-Does_this_surgery_definitely_close_the_hole\"><\/span>1-Does this surgery definitely close the hole?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Unfortunately, it is not possible to guarantee success in every case. In revision cases, success depends on tissue quality and patient compliance.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2-Why_is_revision_surgery_more_difficult\"><\/span>2-Why is revision surgery more difficult?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Because the tissue has been previously damaged and healing capacity has decreased.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"3-Is_the_surgery_performed_on_everyone\"><\/span>3-Is the surgery performed on everyone?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>No. It is not recommended for those with active substance use or if the tissue is severely damaged.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"4-How_long_does_the_surgery_take\"><\/span>4-How long does the surgery take?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>It generally takes 3-4 hours.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"5-Is_there_pain\"><\/span>5-Is there pain?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>It is generally mild and controllable.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"6-Is_hospitalization_required\"><\/span>6-Is hospitalization required?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Most of the time, 1 night is sufficient.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"7-How_long_does_healing_take\"><\/span>7-How long does healing take?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Initial healing takes 2-3 weeks, full healing takes 3-6 months.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"8-When_can_I_return_to_work\"><\/span>8-When can I return to work?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Generally within 7-10 days.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"9-Is_this_cosmetic_surgery\"><\/span>9-Is this cosmetic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>No, it is a functional surgery.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prof. Dr. Gediz Murat Serin \u2013 Ear, Nose and Throat Specialist Holes in the nasal septum are commonly called nasal holes, and medically referred to as septal perforation. Repairing this hole is one of the most difficult and delicate operations in nasal surgery. If this hole has been previously operated on but could not be [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1494,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1493","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\/1493","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=1493"}],"version-history":[{"count":2,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1493\/revisions"}],"predecessor-version":[{"id":1496,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1493\/revisions\/1496"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1494"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}