Nasal Septum Perforation (नाक की हड्डी की छिद्रता) एक ऐसी स्थिति है जिसमें नाक की हड्डी (nasal septum) में एक छेद या gap बन जाता है।
- Nasal septum वह structure है जो नाक के दोनों हिस्सों को अलग करता है।
- Small perforations अक्सर asymptomatic होते हैं।
- Large perforations breathing difficulty, nasal crusting और bleeding का कारण बन सकते हैं।
Nasal Septum Perforation क्या है (What is Nasal Septum Perforation)
- A hole in the cartilaginous or bony nasal septum
- Can be small, medium, or large
- May lead to whistling sound during breathing, epistaxis (nosebleeds), crusting
- Often detected on nasal endoscopy
Nasal Septum Perforation कारण (Causes of Nasal Septum Perforation)
1. Trauma / Injury
- Nose picking, nasal fracture, or surgery (rhinoplasty)
2. Infections
- Chronic bacterial or fungal infections
- Tuberculosis, syphilis (rare causes)
3. Inflammatory / Autoimmune Disorders
- Wegener’s granulomatosis (Granulomatosis with polyangiitis)
- Sarcoidosis
- Lupus
4. Medications / Drugs
- Intranasal steroid sprays (long-term misuse)
- Cocaine or other intranasal drugs
5. Environmental / Occupational Exposure
- Exposure to chemical irritants, dust, or industrial pollutants
6. Idiopathic
- कभी-कभी cause unknown रहता है
Nasal Septum Perforation लक्षण (Symptoms of Nasal Septum Perforation)
- Nosebleeds (epistaxis)
- Crusting inside the nose
- Whistling sound while breathing
- Nasal obstruction or congestion
- Recurrent sinus infections
- Pain or discomfort (rarely)
Small perforations अक्सर asymptomatic रहते हैं।
Nasal Septum Perforation कैसे पहचाने (Diagnosis of Nasal Septum Perforation)
- Physical Examination – anterior rhinoscopy
- Nasal Endoscopy – detailed view of septal perforation
- Imaging (CT Scan) – assess size, location, and surrounding structures
- Blood Tests – if autoimmune cause suspected (Wegener’s granulomatosis, lupus)
- History – trauma, drug use, surgery, infections
Accurate diagnosis helps treatment planning और underlying cause पता करने में।
Nasal Septum Perforation इलाज (Treatment of Nasal Septum Perforation)
1. Conservative / Non-Surgical Management
- Saline nasal sprays / gels to keep mucosa moist
- Antibiotic ointment for crusting or secondary infection
- Avoid trauma and nasal irritants
- Humidifiers to reduce dryness
2. Surgical Repair
- Indicated for large symptomatic perforations
- Septal button or graft placement
- Endoscopic or open surgery depending on size and location
3. Address Underlying Cause
- Discontinue nasal drugs or irritants
- Treat autoimmune or infectious conditions
- Control inflammation
4. Supportive Care
- Regular nasal cleaning and follow-up
- Avoid nose picking or trauma
Early intervention prevents progression and complications।
रोकथाम (Prevention)
- Avoid nasal trauma and nose picking
- Use nasal sprays only as prescribed
- Avoid recreational intranasal drugs
- Maintain nasal hygiene and moisturization
- Treat underlying infections promptly
सावधानियाँ (Precautions)
- Seek medical advice for persistent nosebleeds, crusting, or breathing difficulty
- Avoid self-medication with nasal sprays
- Regular follow-up after nasal surgery
- Protect nose from trauma or chemical exposure
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. Nasal septum perforation वापस ठीक हो सकता है?
Small perforations अक्सर asymptomatic रहते हैं, लेकिन surgical repair से large symptomatic perforations ठीक हो सकते हैं।
Q2. क्या यह life-threatening है?
Usually benign, लेकिन untreated infections या autoimmune causes में complications हो सकते हैं।
Q3. क्या nasal sprays से perforation हो सकता है?
Long-term misuse या high-dose intranasal steroids से हो सकता है।
Q4. कौन high-risk में है?
Nasal drug users, post-surgery patients, chronic nasal infection वाले लोग।
निष्कर्ष (Conclusion)
Nasal Septum Perforation (नाक की हड्डी की छिद्रता) एक condition है, जो trauma, infection, drugs या autoimmune disorders के कारण हो सकती है।
Early diagnosis, nasal care, underlying cause treatment और surgical intervention (जरूरत होने पर) से symptoms manage और complications prevent किए जा सकते हैं।
अगर किसी को nosebleeds, whistling sound, crusting या breathing difficulty दिखे, तो तुरंत ENT specialist से consultation जरूरी है।