question: I have had extensive sinus surgery over the years and was doing fine until a couple of years ago.  I have a perforated septum for 30 years due to use of steroid sprays way back when.  Over the last few years I have had increasing pain and pressure in the roof of my mouth and am wondering if that has to do with my perforation.   The perforation is about 3/8 to ½ inch in diameter.BTW: I have a long time ENT that I put a lot of trust in but was not entirely satisfied with the answers I got from him.  We all make mistakes.