iCliniq logo

Ask a Doctor Online Now

HomeAnswersOtolaryngology (E.N.T)deviated nasal septumFrom the picture, could you tell me if this is a perforated septum?

I am curious about a perforated septum. Should I see an ENT?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 7, 2022
Reviewed AtSeptember 10, 2023

Patient's Query

Hi doctor,

I want to send a picture to identify if I need to go in and see an ENT. Curious about if this is a perforated septum.

Answered by Dr. Akshay. B. K.

Hi,

Welcome to icliniq.com.

I understand your concern. As I can see in the pictures (the attachments rae removed to protect the patient's identity), it is blurry. You seem to have right DNS (deviated nasal septum) that red bulge what you can make out, and the left caudal dislocation of the septum is also present. Please answer a few questions so I can guide you on whether an ENT (ear, nose, and throat) doctor appointment is needed. 1. Do you have nasal obstruction? If present, on which side? 2. History of sneezing or loss of smell or nasal bleeds? 3. Why do you suspect you have a perforated septum? Have you undergone any nasal septal surgery before? I hope you find it helpful. Kind regards.

Patient's Query

Hi doctor,

I have no obstruction or nose bleeds. However, morning has plugs that are painful to blow out. I have a history of substance abuse.

Answered by Dr. Akshay. B. K.

Hi,

Welcome back to icliniq.com.

I understand your concern. From the images you sent, all I can see is a nasal bulge. But to know the perforation will have to do a diagnostic nasal endoscopy. Yes, substance abuse can cause perforation. Although the plugs that you complain about can be a part of perforation, you do not have any other symptoms of perforation like nasal obstruction, nasal bleeds. Are you getting any whistling sounds from the nose? Kind regards.

Patient's Query

Hi doctor,

I heard it last night, but it went away. However, reading on the internet about it caused concern. I have no foul smell. The bridge feels soft or swollen. And I see that black line when I look inside.

Answered by Dr. Akshay. B. K.

Hi,

Welcome back to icliniq.com.

I understand your concern. I can make out a small black spot in the recent picture (the attachments are removed to protect the patient's identity). Please check it once again. It is the beginning of the perforation. The mucosa has turned black, which means it is starting to necrose. If the habit is not stopped, the cartilage will necrose and then opposite side mucosa, ultimately leading to septal perforation. Please confirm to me whether there is just a black spot or if you can look through the opposite nasal side from that black spot. I hope you find it helpful. Kind regards.

Patient's Query

Hi doctor,

It shines a light inside. The other side is lit, but it is not the same brightness. It is pink. No the black line at the top, but I cannot see through it.

Answered by Dr. Akshay. B. K.

Hi,

Welcome back to icliniq.com.

I understand your concern. Then I do not think so. The necrosis of the cartilage has started. Please stop abuse, which decreases the vascularity at that site and leads to perforation. I suggest vaseline (Paraffin) to that black spot three to four times a day; if there is too much crusting, use saline nasal drops to soften the crusts, then remove the crusts. It is an early stage of perforation that can be healed if proper care is given and substance abuse is stopped. I hope you find it helpful. Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Akshay. B. K.
Dr. Akshay. B. K.

Otolaryngology (E.N.T)

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Otolaryngology (E.N.T)

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy