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Medical Forum / Diseases and Disorders / Sinusitis / February 2005

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Septoplasty / perforated septum

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andy - 14 Feb 2005 18:12 GMT
In January ('05), I had two procedures; septoplasty and ESS
(specifically, maxillary  antrostomy).  During recovery, I developed a
hole in my septum.  I could hear whistling which prompted me to do a
little more research and found that a hole can cause this.  I can
actually see the perforation; I estimate that it's a bit smaller in
diameter than a q-tip end (don't worry, I'm not stuffing q-tips up my
nose for reference).  My ENT thinks there's a good chance it will heal
on its own and close.  I am VERY sceptical about this.

1) Is it fairly common for a perforation to heal on its own?

2) How do they develop?  Did I do something wrong during recovery, did
the surgeon make a mistake, or is it other factors?

If you have any anecdotal information about these perforations, please
pass it on to me.
Don Brady - 15 Feb 2005 00:24 GMT
>In January ('05), I had two procedures; septoplasty and ESS
>(specifically, maxillary  antrostomy).  During recovery, I developed a
[quoted text clipped - 12 lines]
>If you have any anecdotal information about these perforations, please
>pass it on to me.

It has happened to others here (not me).  I hope they will comment.

Meanwhile, I would get a second opinion since the doctor that did the original
surgery may be embarrased about it etc.  

It may be *very* tricky to fix so I would go to a top specialist.
andy - 15 Feb 2005 20:09 GMT
 > It has happened to others here (not me).  I hope they will comment.

> Meanwhile, I would get a second opinion since the doctor that did the
original
> surgery may be embarrased about it etc.
>
> It may be *very* tricky to fix so I would go to a top specialist.

Don,

Thanks for responding.  I am getting a second opinion for that very
reason.  I've been searching through some online journals and a few user
forums.  As you mention, it looks like fixing a perforated septum isn't
always successful.

I stumbled upon this newsgroup when I searched through Google's groups.
 I'm a bit surprised at the fairly low message volume in the
a.s.sinusitis group.  Do you know of other similar forums on the
internet where I might look for information and ask questions?

Thanks again.

-andy
Don Brady - 16 Feb 2005 00:45 GMT
>Thanks for responding.  I am getting a second opinion for that very
>reason.  I've been searching through some online journals and a few user
>forums.  As you mention, it looks like fixing a perforated septum isn't
>always successful.

That is correct.  

It may not be that bad to live with it if it comes to that - I'm not saying it
will.....

>I stumbled upon this newsgroup when I searched through Google's groups.
>  I'm a bit surprised at the fairly low message volume in the
>a.s.sinusitis group.  Do you know of other similar forums on the
>internet where I might look for information and ask questions?

No - this is *the* place.   We get maybe 10 posts a day. There have been quiote
a few  posts on septal perforation in the past if you search them out.

P.S.  Someone emailed me the following:

"If you're near NYC, Dr. Robert Lebovics is a fine ENT who is well experienced
with septum holes"
 
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