Living with a Septal Perforation

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Is it possible to live with a septal perforation? That depends on the size and location of the perforation. Posterior perforations (back of nose) tend to be silent and asymptomatic. So, it is entirely possible to live with this kind of septal perforation without medical or surgical interference. However, anterior perforations (front of the nose)  can cause a host of symptoms that can be troublesome. Anterior septal perforation symptoms include:

  • Difficulty breathing
  • Whistling
  • Bleeding
  • Pain
  • Crusting

When septal perforations aren’t fixed, we worry about symptoms becoming worse and more difficult to control, especially nose bleeds. This can have a large impact on your everyday life, and may need to be fixed with surgery. We also worry about the septal perforations becoming larger. This will affect how the nose will look, not just how it works. It is important to have your septal perforations addressed sooner rather than later to prevent these symptoms.

If you are worried about your perforation, come in! We can evaluate your perforation and recommend medical and/or surgical treatments tailored just for your perforation.

If you have any other questions, email us at, or call at 609-403-8840.