A nasal septum perforation is a medical condition in which the
nasal septum
The nasal septum () separates the left and right airways of the nasal cavity, dividing the two nostrils.
It is depressed by the depressor septi nasi muscle.
Structure
The fleshy external end of the nasal septum is called the columella or col ...
, the
bony/cartilaginous wall dividing the
nasal cavities
The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal ...
, develops a hole or fissure.
This may be brought on directly, as in the case of nasal
piercing
Body piercing, which is a form of body modification, is the practice of puncturing or cutting a part of the human body, creating an opening in which jewelry may be worn, or where an implant could be inserted. The word ''piercing'' can refer to ...
s, or indirectly, as by long-term topical drug application, including intranasal
ethylphenidate,
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug and less commonly as a second-line treatment for attention deficit hyperactivity disorder and obesity. Meth ...
,
cocaine
Cocaine (from , from , ultimately from Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly used recreationally for its euphoric effects. It is primarily obtained from the leaves of two Coca species native to South Am ...
, crushed prescription pills, or decongestant
nasal spray
Nasal sprays are used to deliver medications locally in the nasal cavities or systemically. They are used locally for conditions such as nasal congestion and allergic rhinitis. In some situations, the nasal delivery route is preferred for s ...
s, chronic
epistaxis
A nosebleed, also known as epistaxis, is bleeding from the nose. Blood can flow down into the stomach, and cause nausea and vomiting. In more severe cases, blood may come out of both nostrils. Rarely, bleeding may be so significant that low bloo ...
, excessive
nose picking and as a complication of nasal surgery like