Repair of nasal septal perforation with "cross-stealing" technique.
BACKGROUND
The aim of this study was to reveal the efficacy of the "cross-stealing" technique in the repair of nasal septal perforation.


METHODS
In a prospective clinical investigation, 10 patients with the complaints of crusting, bleeding, whistling, nasal obstruction, and pain and in whom septal perforation was detected underwent surgery by endonasal approach between April 2006 and January 2008. During surgery, the inferior-based mucoperichondrial flap was prepared on one side, the superior-based mucoperichondrial flap was prepared on the other side of the nasal septum, and they were passed to the opposite side through perforation. Interpositional graft was placed between flaps and sutured. Patients were followed for a minimum of 5 months before the evaluation of the results.


RESULTS
Complete closure was observed in 7 of 10 (70%) patients and partial closure was observed in 1 patient. In 2 patients perforation was not closed and its size remained unchanged.


CONCLUSIONS
The cross-stealing technique is advantageous in anterior-located septal perforations in that it can be performed endonasally and it is physiological. Because flaps are prepared in a vertical direction, it can be used only in small and middle-sized perforations, which restricts its use.
Islam
Ahmet
A
Department of Otorhinolaryngology and Head and Neck Surgery, Ministry of Health Ankara Training and Research Hospital, Ankara, Turkey. drahmetislam@gmail.com
Celik
Hatice
H
Felek
Sevim Aslan
SA
Demirci
Munir
M
D000293:Adolescent; D000328:Adult; D004724:Endoscopy; D004844:Epistaxis; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D009668:Nose Diseases / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D010146:Pain; D011446:Prospective Studies; D013524:Surgical Flaps