DOI: 10.21276/sasjs.2017.3.12.2

Pages: 307-309

Nasal septum perforation is an anatomic defect that develops as a consequence of necrosis of mucosa, bone and cartilage structures of septum. Although relatively rare, septal perforations are difficult problems that the otolaryngologist has to solve. There are many etiological causes of nasal septum perforation. As it may be idiopathic, the most common cause is iatrogenic as nasal surgeries. The majority of nasal septal perforations are asymptomatic. Septum perforations can cause complaints such as whistling in the respiratory tract, drying, epistaxis, cacosmia and nasal discharge. Nasal saline lavages and shell softening creams are conservative treatment methods to prevent scaling and bleeding after septal perforation. Besides septal silicone button application, the main treatment is surgical repair of perforation. In this review, etiology of nasal septal perforation, clinic and treatment options are discussed in the light of current literature