Diagnosis of Septal Perforation

At SeptalPerforation.co.uk, our primary focus is delivering precise and tailored treatments, beginning with an accurate diagnosis. While a routine nasal examination or nasal endoscopy is a typical starting point for septal perforation diagnosis, what truly distinguishes us is our dedicated effort to uncover the underlying causes, a pivotal aspect in crafting effective treatment plans.

Understanding the Cause

Central to our treatment approach is the identification of the root cause of septal perforation. This understanding not only guides our treatment strategy but is also instrumental in preventing potential recurrences post-treatment. For patients with undiagnosed autoimmune disorders such as Wegener’s granulomatosis, where the effects extend beyond the nasal region, a comprehensive approach becomes imperative. Additionally, patients with behavioural habits like compulsive nose picking require integrated behavioural interventions alongside septal perforation treatment for optimal outcomes.

Image (1): Medical Experts  |  Author: OpenStax College | Image courtesy: Wikipedia.

Empowering Patients with Knowledge

Many of the patients we encounter initially lack awareness of their septal perforation. Often seeking medical attention for symptoms like recurrent nosebleeds, sinus congestion, or nasal pain, they are surprised to be diagnosed with a septal perforation. Some may have been informed that limited options, such as ointments and septal buttons, are available. Frustrated by these constraints, patients turn to us for more comprehensive care and a broader spectrum of treatments.

Image (2):  Patients with Knowledge |  Author: OpenStax College | Image courtesy: Wikipedia.

The Diagnostic Process 

Our diagnostic process begins with a thorough history and physical examination, helping us understand each patient’s unique case.

Image (3): Diagnosis |  Author: OpenStax College | Image courtesy: Wikipedia.

Nasal Exam

During the nasal exam, the nasal septum is carefully observed using a nasal speculum and appropriate lighting. Although some patients may have a deviated septum, which is a common variation, it does not necessarily equate to a septal perforation.

Image (4): Nasal Exam |  Author: OpenStax College | Image courtesy: Wikipedia.

Nasal Endoscopy

For a more in-depth examination, we employ nasal endoscopy. This procedure uses a telescopic lens to magnify and illuminate the nasal cavity, providing a comprehensive view of the internal nasal architecture. Nasal endoscopy is particularly useful for measuring the size of the septal perforation, recording video for surgical planning, and diagnosing concomitant nasal diseases.

Image (5): Nasal Endoscopy |  Author: OpenStax College | Image courtesy: Wikipedia.


At SeptalPerforation.co.uk, we believe that a precise diagnosis is the foundation of effective treatment, and we are committed to empowering our patients with the knowledge they need to make informed decisions about their health and well-being.

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