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About Dr. Kridel

Dr. Russell Kridel has a vast range of experience in facial plastic surgery that has made him a sought-after speaker at medical meetings and courses worldwide. Elected by his peers, Dr. Kridel was National President of the American Academy of Facial Plastic and Reconstructive Surgery from 2000-2001. He currently serves as Senior Advisor to the Board of Directors of the American Board of Facial Plastic & Reconstructive Surgery and has been a Board examiner in Facial Plastic Surgery for both the ABO and the ABFPRS. Dr. Kridel has written over 10 articles on septal perforations and has given an annual course with David Fairbanks, MD for over 10 years. His office is located at 6655 Travis, Suite 900 in the heart of Houston’s Medical Center. For more information click here or call 713.526.5665.

SEPTAL PERFORATIONS: What You Can Do

Perforated septums have many causes and the etiology should be determined by a head and neck (ENT-Otolaryngology) surgeon; they can be a sign of serious conditions which maSeptal perf imagey need to be ruled out. However, previous nasal surgery and steroid nasal sprays could be the culprits, too. The photo to the right is an example of a perforation of the nasal septum. Unrepaired perforations can get larger, cause whistling, crusting, nasal obstruction, and bleeding and may be chronically infected. Some can cause collapse of the external nose. If you decide against surgery, there are better treatments than A&D ointment. Go see an ENT doc who repairs these often and has a good track record. Ask the ENT's in your community who is the best for this. Smaller perforations are easier to repair; if the perforation keeps getting bigger, it may not be repairable. In summary, septal perforation repair (nasal reconstructive surgery) is a very complex operation that takes much skill and many hours. This is not the simple operation that has been tried in the past that usually does not work. Through years of trying very many methods, we have adopted a method that we have published and which is now quite well respected. Our office will make every effort to help you with insurance reimbursement for this procedure. However, you must know that this is a special condition and a special operation which your insurance carrier may or may not recognize. You are probably here because either you or your doctor has heard of our success rate with this operation and therefore you are expecting this more complex operation which we hope, but cannot promise, will work in your case. This website provides general information only and does not take the place of a visit to a physician for review and examination of your special circumstances.

What is a septal perforation?

A septal perforation is a hole perforation in the nasal septum —the tissue that separates the nostrils. It can occur as a result of previous nasal surgery, or as a result of a nasal fracture, and there are many more causes as well. A septal perforation is often thought of as resulting from cocaine use, but trauma or previous surgery are also common causes.

When a perforation is present, such symptoms may be noticed as:

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