title: Surgical technique for reconstruction of the nasal septum: the pericranial flap.
abstract: BACKGROUND
  We describe a new technique for the surgical reconstruction of large-sized anterior septal perforations based on the pericranial flap.
  
  
  METHODS
  The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of the nasal septum as a result of chronic cocaine abuse.
  
  
  RESULTS
  Surgery resulted in a permanent and complete closure of the perforation.
  
  
  CONCLUSIONS
  The main advantage of this technique is the use of well-vascularized autogenous tissue and the minimal donor site morbidity. This technique provides a new method to close large nasal perforations.
authors.affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Clínico de Barcelona, Barcelona, Spain.
authors.forename: V
authors.initials: V
authors.lastname: Paloma
authors.forename: A
authors.initials: A
authors.lastname: Samper
authors.forename: F J
authors.initials: FJ
authors.lastname: Cervera-Paz
mesh_terms: D003042:Cocaine / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000473:pathology / Q000601:surgery*; D009668:Nose Diseases / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012422:Rupture, Spontaneous / Q000601:surgery; D012886:Skull / Q000637:transplantation*; D019966:Substance-Related Disorders / Q000150:complications; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D003042:Cocaine