title: Anterior ethmoidal artery septal flap for the management of septal perforation.
abstract: OBJECTIVE
  To achieve long-term closure of nasal septal perforations and to describe our surgical technique for repairing septal defects.
  
  
  METHODS
  We describe 11 patients who underwent endoscopic repair of anterior septal perforations with a unilateral septal flap pedicled by the anterior ethmoidal artery. The patients were followed up for a period of 12 to 132 months (median follow-up, 51 months).
  
  
  RESULTS
  There were no complications after surgery. All cases of septal perforation remained closed for the duration of follow-up.
  
  
  CONCLUSIONS
  Closure of a perforated nasal septum through an endonasal technique can be achieved with a unilateral mucosal flap based on the anterior ethmoidal artery.
authors.affiliation: Department of Otorhinolaryngology Head–Neck Surgery, Hospital Macchi, University of Insubria, Varese, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Castelnuovo
authors.forename: Fabio
authors.initials: F
authors.lastname: Ferreli
authors.forename: Iman
authors.initials: I
authors.lastname: Khodaei
authors.forename: Pietro
authors.initials: P
authors.lastname: Palma
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery*; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000098:blood supply / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome