title: [With periosteal "sandwich" suturing and repairing septonasal perforation by nasal columella degloving].
abstract: OBJECTIVE
  To recommend a new type of repairing septonasal peforation.
  
  
  METHODS
  After a seagull's incision is made around the internal edges of anterior nares and the root of nasal columella, the mucoperiost of nasal septum and nasal bottom is widely dissected through the nasal columella degloving pathway. Then, relaxative incisions are made in bilateral mucoperiost at different directions and bilateral peforations are relaxative sutured at different levels respectively. Meanwhile, an autograft of tibil periost is fixed into nasal septum by the "sandwich" technique. Finally, both nasal cavities are carefully packed.
  
  
  RESULTS
  Three cases of septonasal perforation were successfully repaired and have been followed up for 1-2 years respectivelly with no recurrence.
  
  
  CONCLUSIONS
  The characteristics of this operation are: style rather fashionable, pathway rather wide, mucoperiost rather relaxed, suture rather firm and failing rather few.
authors.affiliation: Department of Otorhinolaryngology, Changhai Hospital, Second Military Medical University, Shanghai 200433.
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.forename: S
authors.initials: S
authors.lastname: Zhang
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D009668:Nose Diseases / Q000601:surgery*; D010521:Periosteum / Q000637:transplantation*; D012225:Rhinoplasty / Q000379:methods; D013536:Suture Techniques