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A perforated septum is not serious.
A perforated septum occurs when the blood supply that supplies nutrition to the cartilage is shut off producing a hole or perforation.
Perforated septum may be prevented by controlling nosebleeds by pinching and vaginal estrogen cream can toughen the blood vessels.
Injudicious cauterization of both sides of the septum causes a perforated septum when death of nose tissue occurs.
The causes of a perforated septum are wearing ornaments in the nose; sniffing cocaine; having the septum cauterized; rhinoplasty; diseases; toxic vapors.