Nose & Sinus Issues

Septal Perforation: Long-Term Outcomes

by Dr. Jason Hamilton
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Nasal Septum Repair/Septal Perforation Surgery/Nose Deformity CLINICAL CHALLENGE Septal perforation surgery is likely one of the most difficult reconstructive surgical procedures performed by a nasal reconstructive surgeon. Long-term follow-up is mandatory to insure that the perforation heals well without complications. MANAGEMENT CONSIDERATIONS The complexity of each case is dictated by the cormorbidities present. Patients presenting […]

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Management of Pediatric Septal Perforation

by Dr. Jason Hamilton
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Lithium Battery Causing Septal Perforation/Nasal Septum Repair/Septal Perforation Surgery CLINICAL CHALLENGE Septal perforations can arise from a variety of injuries to the nose. In the pediatric population children placing small objects in the nose is a common cause of injury to the nasal septum. In this case a lithium battery from a small toy was […]

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What Effect Does Cocaine Have on the Nose?

by Dr. Jason Hamilton
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Quick Facts:     i.          Cocaine constricts blood flow to the septum causing a perforation    ii.         Early intervention can prevent a septal perforation   iii.         A septal perforation will never heal on its own once present    iv.         Cocaine can severely damage the […]

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Nasal Saline Irrigation

by Dr. Belinda Mantle
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Doctor, I always have sinus congestion and post nasal drip. People keep telling me to try using nasal saline irrigation. Will it help me? Salt water nasal washes have been used for centuries but recently have been popularized as an alternative to allergy/sinus medications and antibiotics. Nasal congestion and post nasal drainage can result from allergies, […]

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Saddle Nose Deformity and Septal Perforation: Correcting Nasal Collapse

by Dr. Jason Hamilton
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Nasal Septum Repair/Septal Perforation Surgery/ Saddle Nose Deformity Jason S. Hamilton, MD, FACS Director of the Division of Plastic and Reconstructive Surgery Osborne Head and Neck Institute, Los Angeles, CA Ryan Osborne, MD, FACS Director of the Division of Head and Neck Surgery Osborne Head and Neck Institute, Los Angeles, CA   CLINICAL CHALLENGE Septal […]

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Deviated Septum and Septal Perforation

by Dr. Jason Hamilton
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Nasal Septum Repair/Septal Perforation Surgery Jason S. Hamilton, MD, FACS Director of the Division of Plastic and Reconstructive Surgery Osborne Head and Neck Institute, Los Angeles, CA Ryan Osborne, MD, FACS Director of the Division of Head and Neck Surgery Osborne Head and Neck Institute, Los Angeles, CA   CLINICAL CHALLENGE Septal perforations may arise […]

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Hereditary Hemorrhagic Telangiectasia: Nasal Septal Perforation Repair

by Dr. Jason Hamilton
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Nasal Septal Perforation Repair Jason S. Hamilton, MD, FACS Director of the Division of Plastic and Reconstructive Surgery Osborne Head and Neck Institute, Los Angeles, CA Ryan Osborne, MD, FACS Director of the Division of Head and Neck Surgery Osborne Head and Neck Institute, Los Angeles, CA   CLINICAL CHALLENGE HHT is a hereditary disorder […]

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Unexplained Coughing and Sinusitis

by Anisa Abbas
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  Question: Can sinusitis cause a chronic cough? My 9-year-old daughter has been coughing for the past several weeks, especially at night. She is normally very healthy but recently recovered from a bad cold. I called her pediatrician and he suggested that her cough could be due to sinusitis. Can my daughter’s cough be due […]

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Rhinoplasty and Septal Perforation Repair

by Dr. Jason Hamilton
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  Is it appropriate to combine rhinoplasty and septal perforation repair procedures? Question: A few months ago I suffered a nasal fracture while playing baseball with some friends. At the time, I had my nose “reset” in the emergency room. I followed up with the ENT doctor three weeks later and was diagnosed with a […]

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Septal Perforation– Treatment of Complications

by Dr. Jason Hamilton
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  Can septal perforations heal without intervention? Question: My ENT doctor has diagnosed me with a septal perforation.  It happened after a “routine” septoplasty, after which I had a lot of bleeding from the left side of my nose that made a really big scab and blocked my air passage.  After the doctor pulled it […]

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Stevie Nicks Voice Changes: Can a Perforated Septum Affect Your Voice?

by Dr. Reena Gupta
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Stevie Nicks has come back onto the stage in a big way. The current Fleetwood Mac tour has shed the spotlight on her once again, and among other topics, she is opening up about her struggles with drug addiction. Among the most prominent tales in Nicks’s lore is that of the hole in her septum. […]

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