What is a septal button?
The Hood Nasal Septal Button* is designed as a non-surgical approach to manage septal perforations. A unique conical shape seals the button, reduces movement of the flaps and accumulation of crusted epistaxis secretions, improving nasal respiration.
What is considered a large septal perforation?
Septal perforations are classified according to site and topography: cartilaginous, osteocartilaginous or intermediate, bone or posterior; according to size: small (< 1 cm in diameter), medium (1-2 cm) and large (> 2 cm).
Are septal buttons permanent?
Many physicians will recommend a septal button, which is a silastic rubber splint that bridges the hole relieving symptoms. The septal button is a good stop measure for symptoms, but must be worn permanently to keep symptoms at bay.
How is a septal button inserted?
To ease insertion of the septal button, a ra- dial cut is made on one of the flanges of the septal button prosthesis (Fig. 1), and then the cut edge of the flange is passed through the perforation into the other side of the nasal cavity. The leading edge is then grasped with the forceps and pulled through.
How do you know if you have a perforated septal?
A perforated septum doesn’t always cause any symptoms, but they can include nosebleeds, trouble breathing, and the feeling that your nose is blocked up. You might make a whistling sound as you breathe.
How do you test for septal hematoma?
A septal hematoma can usually be diagnosed by inspecting the septum with a nasal speculum or an otoscope. Asymmetry of the septum with a bluish or reddish fluctuance may suggest a hematoma. Direct palpation may also be necessary, as newly formed hematomas may not be ecchymotic.
What happens to the septal button after surgery?
In patients with septum perforation surgery, when the septum hole is completely closed, the effect is permanent. It should be noted, however, that the septal button is a foreign body and that secretions within the nose can accumulate and cause chronic infection at the edges of the holes.
Who is contraindicated for septal button placement?
• Patients with septum deviation are relatively contraindicated for button placement because they may cause poor seizures to the septum. • Patients with active hemorrhagic septum. In these patients, autoimmune, infectious and malignant processes should be investigated.
What kind of buttons are used for septum perforation?
Nasal septal buttons are made of silicon “buttons” shaped prosthesis which used for temporary non-surgical treatment purpose in patients with nasal septum perforation (hole in the nasal septum), which Septal Button Application Details
How often should a nasal septal button be applied?
For doctors performing septum perforation surgery, there is no standardized standardized method for surgical closure of 4 cm and wider perforations. What to do about patient care after septal button application can be summarized as follows: • The patient should clean the nasal secretions by applying intranasal saline at least 3 times a day.
