Nasal septal perforation may present with various symptoms. Perforations ma
y be surgically closed or managed by obturation, inserting a prosthesis. We
used a silicon septal button in the management of nasal septal perforation
. In the follow-up period, although the insertion of the nasal septal butto
n alleviated epistaxis, whistling during inspiration, and nasal obstruction
, it could not control the production of crusting around the margin of the
button.