YILDIZ E, ULU S, KAHVECİ OK (2019) What are the Factors Leading to Nasal Septal Perforations after Septoplasty?. J Otolaryngol Rhinol 5:065.


© 2019 YILDIZ E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESSDOI: 10.23937/2572-4193.1510065

What are the Factors Leading to Nasal Septal Perforations after Septoplasty?

Erkan YILDIZ1*, Şahin ULU2 and Orhan Kemal KAHVECİ2

1Department of Otorhinolaringology, Afyonkarahisar Şuhut State Hospital, Afyonkarahisar, Turkey

2Department of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkey



Nasal septal perforation is the most common complication in the long term after septoplasty. Nasal septal perforation is the partial opening of the wall between both nasal cavities. In this study, we will evaluate the causes of septal perforation after septoplasty.

Materials and methods

400 patients aged between 18 and 50 years who underwent septoplasty operation in Afyonkarahisar Şuhut State Hospital between 2016-2019 were evaluated retrospectively. These patients were divided into groups with and without perforation. Smoking and alcohol use of patients with perforation, gender and septum stabilization was used for the technique.


There were 280 male and 120 female patients. 378 patients had no postoperative septal perforation. 22 had perforation after surgery. Of the patients in the perforated group, 19 male and 3 female were female. 21 of these patients smoked, 1 patient did not drink. 11 of these patients were drinking alcohol and 10 of them did not drink alcohol. Transseptal suturation + nasal saturation splint was used in 14 patients to stabilize the septum while perforation rate was 22/400 (1.3%). Male sex ratio was significantly dominant in perforated patients. (19/3) (p. 0.05) Smoking group was significantly increased in patients with perforated group (21/1) (p ˂ 0.05). There was no significant difference in perforation rate and alcohol intake among the patients in this group ((p) 0.05). A significant difference was observed between the methods used to stabilize the septum. ((P) 0.05) The perforation rate was significantly increased in transseptal sutures.


Patients with perforation after septoplasty were found to increase the risk of perforation by male sex, smoking and surgical technique as transseptal suturing technique.