Septal Perforation Closure

A hole in the nasal septum — known as a septal perforation — can cause symptoms such as whistling, crusting, nosebleeds, and nasal obstruction. For some people, it can also lead to persistent dryness and discomfort.

At Hampshire ENT clinics, we offer modern surgical and non-surgical treatments to repair septal perforations and restore normal nasal function.

👃 What Is a Septal Perforation?

The nasal septum is the thin wall that separates the two sides of your nose. A perforation is a hole in this wall, which can vary in size and location.

Common causes include:

• Previous nasal surgery

• Trauma or injury

• Nasal cautery or repeated nosebleeds

• Long-term use of nasal sprays or recreational drugs

• Autoimmune or inflammatory conditions

⚠️ What Symptoms Can It Cause?

While small perforations may cause no symptoms, larger ones can lead to:

• Nasal crusting and dryness

• Whistling noises when breathing

• Nosebleeds

• Nasal obstruction or congestion

• A sensation of airflow between nostrils

If you notice these symptoms, an ENT assessment can confirm the diagnosis and discuss treatment options.

🩺 Treatment Options at Hampshire ENT

1. Conservative Management

Some perforations can be managed with:

• Regular saline rinses or ointments

• Humidification to reduce dryness

• Specially designed silicone septal buttons that cover the hole and improve symptoms

2. Surgical Closure

For patients with persistent symptoms, surgical repair can offer a lasting solution.

• The operation involves closing the hole with local tissue flaps or grafts.

• Techniques may be performed through the nostrils (endonasal) or via a small incision under the nose (external approach).

• Modern reconstructive methods achieve high success rates, particularly for small- to medium-sized perforations.

🌟 Why Choose Hampshire ENT Clinics?

• Expertise in advanced nasal and reconstructive techniques

• Access to modern imaging and surgical tools

• Personalised care from experienced ENT surgeons

• Local treatment in Portsmouth, Fareham, and across Hampshire

Our goal is to help you breathe more comfortably, eliminate crusting, and restore natural nasal function.

📞 Get in Touch

If you’ve been told you have a septal perforation, or you’re experiencing nasal whistling or dryness after surgery, our specialists can help.

👉 Contact Hampshire ENT clinics to arrange an assessment and find out which treatment is right for you.