title: Septal perforation repairing with combination of mucosal flaps and auricular interpositional grafts in revision patients.
abstract: OBJECTIVE
  To examine the closure of nasal septal perforations with bilateral nasal floor flaps combined with auricular cartilage grafts and a normally functioning nose in revision patients.
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  A tertiary referral hospital in Turkey.
  
  
  METHODS
  Seventeen patients (11 men, 6 women) with nasal septal reperforation were treated surgically using combined bilateral nasal floor mucosal flaps with bilateral auricular cartilage interpositional grafts.
  
  
  RESULTS
  The mean follow-up was 15.2 (range, 9-28) months. The average anteroposterior diameter of perforation was 28 ± 3 (range, 20-38) mm, and the average vertical diameter was 23 ± 8 (range, 20-27) mm at the widest site. The nasal septal perforations were closed completely in 16 cases; in 1 case, the perforation was not repaired completely.
  
  
  CONCLUSIONS
  A successful multilayer closure technique with good exposure was applied in patients with reperforation.
authors.affiliation: Bagcilar Education and Research Hospital, Otolaryngology-Head and Neck Surgery Clinic, Istanbul, Turkey. taskin_umit@yahoo.com
authors.forename: Umit
authors.initials: U
authors.lastname: Taskin
authors.forename: Ozgur
authors.initials: O
authors.lastname: Yigit
authors.forename: Sezim A
authors.initials: SA
authors.lastname: Sisman
mesh_terms: D000328:Adult; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa; D061270:Nasal Septal Perforation / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D012086:Reoperation; D013524:Surgical Flaps; D016896:Treatment Outcome