Is Nasal Perforation After Septoplasty Considered Medical Malpractice? - Otolaryngology

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Is the occurrence of a nasal perforation after undergoing septoplasty considered medical malpractice?


After the surgery on October 1, 2015, I had six follow-up visits over a period of one and a half months.
The surgeon consistently said everything looked good, but I still felt uncomfortable, experiencing symptoms like a runny nose, nasal congestion, and a sensation of foreign body in my nose.
Eventually, I couldn't tolerate it anymore and visited an ENT specialist near my home, where I discovered that the surgery had caused a nasal perforation, and the wound had not healed.
I was advised to use saline nasal spray twice a day.
However, I still feel uncomfortable every afternoon, with nasal congestion and dizziness.
What should I do? Is there a way to remedy this? Does this constitute medical negligence?

Xin Xin, 50~59 year old female. Ask Date: 2015/12/06

Dr. Zheng Jueyi reply Otolaryngology


Hello, the septoplasty may have a risk of perforation due to slower wound healing or infection.
You can return for a follow-up appointment to discuss with your surgeon whether to continue medication or if further surgical intervention is needed.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/06

More Info


Nasal perforation following septoplasty can indeed be a concerning complication, and whether it constitutes medical malpractice depends on various factors. Medical malpractice occurs when a healthcare professional provides treatment that falls below the accepted standard of care, resulting in harm to the patient. In your case, the key issues to consider include the circumstances surrounding the surgery, the qualifications and actions of the surgeon, and the follow-up care provided.

Firstly, it's important to understand that septoplasty is a common surgical procedure aimed at correcting a deviated septum, which can lead to improved airflow and reduced nasal obstruction. However, like any surgical procedure, it carries risks, including the potential for complications such as nasal perforation. A perforation is an abnormal opening in the nasal septum, which can lead to symptoms such as nasal obstruction, crusting, and discomfort, as you've described.

In assessing whether your situation may involve medical malpractice, consider the following:
1. Informed Consent: Were you adequately informed about the risks of the surgery, including the possibility of nasal perforation? If the surgeon did not provide this information, it could be a factor in determining malpractice.

2. Surgical Technique: Did the surgeon follow established protocols and techniques during the surgery? If there was a deviation from standard practices that led to the perforation, this could indicate negligence.

3. Postoperative Care: After the surgery, were your concerns taken seriously? If you reported ongoing discomfort and symptoms but did not receive appropriate follow-up care or investigation, this could also be a factor.

4. Documentation: The medical records from your surgery and follow-up visits will be crucial. They should detail the procedure, any complications noted, and the management of your postoperative symptoms.

If you suspect that your nasal perforation was due to negligence, it may be beneficial to consult with a medical malpractice attorney who specializes in healthcare cases. They can help you evaluate the specifics of your situation and determine if there is a viable case.

In terms of management for your current symptoms, it is essential to follow the advice of your healthcare providers. Using saline nasal sprays or rinses can help keep the nasal passages moist and may alleviate some discomfort. If you continue to experience significant symptoms such as nasal obstruction, headaches, or a feeling of pressure, it may be necessary to seek further evaluation from an ENT specialist. They can assess the extent of the perforation and discuss potential treatment options, which may include surgical repair if the perforation is significant and causing persistent issues.

In conclusion, while nasal perforation after septoplasty can be a complication of the procedure, determining whether it constitutes medical malpractice requires a careful review of the circumstances surrounding your care. It is crucial to maintain open communication with your healthcare providers and seek further evaluation if your symptoms persist.

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