Brief Answer:
Not a serious problem. Physical abnormalities.
Detailed Answer:
Hello,
I have gone through your query and understand your concern.
Most of the nasal perforation are not a serious problem. But if the hole is large enough, it may affect the structure of the nose and lead to physical deformities like saddle-shaped
deformity.
Here i would like to mention few common causes for hole or perforation in
nasal septum.
Complication of previous nasal surgery, from cocaine use, excessive nose picking, trauma, cancer, or diseases such as
tuberculosis,
sarcoidosis, or syphilis. As damage reduces blood supply in the septum, the
cartilage begins to die, and a hole develops.
Even long-term use of decongestant nasal sprays can cause nasal perforation.
Do you have any of the above mentioned condition or disease. Then it should be treated.
Further if the hole is large enough and if you have deviated nasal septum, then it should be repaired.
Hope this helps.
Please write back for further queries.
Wishing you good health.