Nasal septal perforation repair using oral mucosal flaps.
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.
Kogan
Leonid
L
Plastic & Reconstructive Surgery Unit, Western Galilee Hospital, Nahariya, Israel.
Gilbey
Peter
P
Samet
Alvin
A
Talmon
Yoav
Y
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