Our expert says:
It is important to establish the cause of the septal perforation before any form of surgery should be embarked upon. It is unlikely that the perforation alone would be the cause of the obstruction, and an ENT examination is indicated to assess this. Septal perforation surgery is difficult, and it would not be advisable to attempt this at the same setting. If you feel comfortable to have the nasal bump removed, one could have this done at the same time, if your plastic surgeon agrees.
Once you have fully recovered, you could go and see an ENT who specializes in septal perforation surgery, as few surgeons do this, and good results are impossible to guarantee.
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