title: Pedicled local mucosal flap and autogenous graft for the closure of nasoseptal perforations.
abstract: CONCLUSIONS
  The results suggest that the procedure is effective in the repair of nasal septal perforations (10-20 mm in diameter). Therefore, we consider it to be a good alternative for repairing nasal septal perforations.
  
  
  OBJECTIVE
  To introduce and evaluate a technique of pedicled local mucosal flap with the interposition of an autogenous graft in the repair of nasal septal perforations.
  
  
  METHODS
  Between 2004 and 2008, the clinical notes of 28 patients with nasal septal perforations (10-20 mm in diameter) undergoing the surgery of pedicled local mucosal flap with the interposition of an autogenous graft were reviewed.
  
  
  RESULTS
  Complete perforation closure was achieved in 26 cases (92.9%). Two patients had a reperforation, one receiving a second technique and a subsequent successful closure of the perforation; the other case with an asymptomatic perforation did not undergo further surgery. No serious complications were encountered.
authors.affiliation: Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Li
authors.forename: Quan
authors.initials: Q
authors.lastname: Liu
authors.forename: Hongmeng
authors.initials: H
authors.lastname: Yu
authors.forename: Zhicun
authors.initials: Z
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000209:etiology / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply*; D055815:Young Adult