I'm not sure if you're able to send individual responses, but I think I would prefer not to have this question posted, unless required for a response...
My boyfriend has a 'hole' (@ 1/4" in diameter) in his septum as a result of internasal drug use. It is through the septum in the front of the nose, @ 1/2" up from the nostril openings.
Questions:
1. Is this the normal location of a deviated septum?
2. Will the hole ever close up on its own?
3. Must a septal injury receive medical attention?
4. What are the immediate/long term effects if untreated?
5. Could continued cocaine snorting be fatal?
I really need & appreciate your advice. I have not been able to find this kind of specific information anywhere.
Reply: ------------------------------
1) A deviated septum simply refers to a septum that is not straight and located in the midline. This could mean a septum that has a bone spur, a bend, or is generally crooked. A hole in the septum usually occurs in the front part of the nasal passage since this is where the septum is made of cartilage and is somewhat weaker than the back part where there is thin bone present.
2) Once a hole has formed it will not close on its own.
3) I would recommend that your friend have an examination by an ear, nose, and throat physician.
4) Immediate effects include crusting, nose bleeding, whistling during nasal breathing, and often nasal airflow obstruction. Long term effects include cosmetic deformity of the nose with sagging in the middle known as a "saddle-nose deformity".
5) ABSOLUTELY!!!
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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
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