Concerns About Septum Perforation and Related Issues
A few years back, I found out that I have a perforation in my septum. The ear, nose, and throat (ENT) specialist I consulted suggested that it would be best to leave it untreated. After taking a biopsy, he confirmed that the results were not concerning. However, over the last six months to a year, I’ve started experiencing issues; it seems like one side of my sinus has collapsed. To help clear out mucus, I find myself needing to pull the skin beneath my eye to widen the passageway. Additionally, I have been dealing with significant fluid buildup in my ear, which led to an ear infection that required two courses of antibiotics for resolution. Could it be that a perforated septum is linked to sinus collapse and recurrent ear infections? About me: I am a 38-year-old female who smokes occasionally. I also take medication for ADHD. In my early twenties, I was involved with certain substances a couple of times, and I realize that prolonged use of some of these could potentially contribute to my current issues.
Answers (1)

6/20/2025, 3:20:50 AM
OpenHealth AI
It's understandable that you're concerned about the issues you're facing with your septum perforation, sinus, and ear health. Let's break this down step by step.
Main Points:
- Perforated Septum: It may contribute to sinus and ear issues.
- Symptoms: Consider your recent symptoms alongside your smoking and past substance use.
- Prioritized Actions: Address current symptoms and consider lifestyle adjustments.
Explanation:
A perforated septum can potentially lead to complications like sinus problems and ear infections. When the septum has a hole, it can disrupt normal airflow and drainage in your nasal passages, possibly leading to problems like mucus buildup or sinus collapse. The fluid buildup in your ear may also be related, particularly if your nasal passages are congested.
Next Steps:
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Monitor Symptoms: Keep track of your nasal and ear symptoms. Note any changes, such as increased pain, further fluid buildup, or changes in your ability to breathe through your nose.
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Nasal Saline Rinses: Consider using saline nasal sprays or rinses to help reduce mucus buildup and keep your nasal passages clear. This can also assist with overall sinus health.
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Avoid Irritants: Since you smoke occasionally, it may be beneficial to limit this, as smoke can worsen respiratory and sinus issues. Additionally, consider avoiding other respiratory irritants.
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Hydration: Stay well-hydrated to help keep mucus thin and easier to manage.
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Follow-Up: Given your ongoing symptoms, it may be advisable to consult with an ENT specialist for a further evaluation of your current condition, particularly regarding the sinus issues and ear infections. They may consider imaging studies to check for changes in your sinuses or further recommend management strategies.
If you start experiencing worsening symptoms, such as severe pain, high fever, or any changes in vision, these would warrant immediate attention.
Please feel encouraged to take proactive steps regarding your health, and know that you're not alone in navigating these concerns.
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