title: Nasal septal perforation repair using oral mucosal flaps.
abstract: BACKGROUND
  Surgery for the closure of nasal septal perforations is challenging. Numerous techniques have been described.
  
  
  OBJECTIVE
  To assess whether nasal septal perforations heal less consistently if a connective tissue scaffold is not placed between the repaired septal flaps.
  
  
  METHODS
  We performed closure of a septal perforation via a closed approach using oral mucosal flaps without the interposition of a connective tissue graft in seven patients.
  
  
  RESULTS
  Complete perforation closure was achieved in 5 cases (71.4%). There was no significant donor site morbidity.
  
  
  CONCLUSIONS
  These initial results suggest that this is an effective technique for closing nasal septal perforations; it obviates the morbidity of the open approach and the added operating time and morbidity associated with the harvesting of a connective tissue graft.
authors.affiliation: Plastic & Reconstructive Surgery Unit, Western Galilee Hospital, Nahariya, Israel.
authors.forename: Leonid
authors.initials: L
authors.lastname: Kogan
authors.forename: Peter
authors.initials: P
authors.lastname: Gilbey
authors.forename: Alvin
authors.initials: A
authors.lastname: Samet
authors.forename: Yoav
authors.initials: Y
authors.lastname: Talmon
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013536:Suture Techniques