"Information on the size and position of the perforation is important when planning treatment. Small perforations are often repaired with different approaches and techniques than larger perforations. Small anterior perforations are more likely to cause whistling. Larger, anterior perforations are more likely to crust and create nasal congestive symptoms. Posterior perforations are less likely to cause symptoms; therefore, patients with these perforations may only need a focussed search for an aetiology and conservative observational treatment."
"Nasal silastic buttons are available for insertion. Some patients tolerate the buttons for many years; however, many do not. Some companies offer silastic buttons that can be custom fitted to the patient."
"In general, medical therapy is directed at minimising symptoms associated with nasal septal perforations, such as epistaxis, crusting, and nasal congestion, and treating causative medical conditions, including lupus and sarcoidosis."