A hole in the septum can be a common complication of septal surgery. If the hole is located too close to the nasal opening, it can look bad. Otherwise most holes do not cause problems unless they are just the right size. Air going by a hole the right size can cause whistling. Larger holes that normally do not cause problems sometimes plug up partially causing intermittent whistling.
Reconstruction can be by moving tissue around and or grafting.
I hope this information proves of some use. If my office can be of further assistance, please let us know. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures. I would like to get your advice. First surgery was for cosmetic reasons when I was 15, my second surgery prevailed after a flight to Hong Kong,I got off the plane and my nasal passages were completely obstructed.