title: Nasal septal perforations: our surgical technique.
abstract: OBJECTIVE
  The aim of this paper was to describe our surgical technique for the treatment of nasal septal perforations.
  
  
  METHODS
  We studied 31 patients with nasal septal perforation treated with an endoscope-assisted technique, based on a bilateral dissection of monopedicled mucosal flaps from the nasal fossa floor, sutured at the edge of the perforation previously unstuck, without any graft interposed between the two mucosal layers.
  
  
  RESULTS
  In our experience with 31 patients, the use of this technique led to the persistent closing (with follow-up for at least one year) of 96.3% of the perforations smaller than 3 cm.
  
  
  CONCLUSIONS
  Our technique has the advantage of an endonasal approach, without any external incision, and the use of monopedicled flaps from the nasal fossa floor without any graft interposition, avoiding any other surgical procedure and morbidity in the donor site of the graft. The use of nasal endoscopy permits superior precision in all surgical steps.
  
  
  CONCLUSIONS
  The high success rate in perforations smaller than 3 cm seems to confirm the effectiveness of this technique.
authors.affiliation: Department, Policlinico di Modena, Università degli Studi di Modena e Reggio Emilia, Modena, Italy.
authors.forename: Livio
authors.initials: L
authors.lastname: Presutti
authors.forename: Matteo
authors.initials: M
authors.lastname: Alicandri Ciufelli
authors.forename: Daniele
authors.initials: D
authors.lastname: Marchioni
authors.forename: Domenico
authors.initials: D
authors.lastname: Villari
authors.forename: Alessio
authors.initials: A
authors.lastname: Marchetti
authors.forename: Francesco
authors.initials: F
authors.lastname: Mattioli
mesh_terms: D000328:Adult; D004210:Dissection; D004724:Endoscopy; D004844:Epistaxis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009297:Nasal Mucosa / Q000637:transplantation; D015508:Nasal Obstruction / Q000601:surgery; D009300:Nasal Septum / Q000293:injuries* / Q000601:surgery; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome