A novel technique to repair moderate-sized nasoseptal perforations.
OBJECTIVE
To describe a novel technique for closure of moderate-sized nasoseptal perforations and to review the current literature on various techniques for closure of nasoseptal perforations.


METHODS
Retrospective review.


METHODS
Academic research.


METHODS
We performed a retrospective review of a successful novel technique that has been used at a facial plastic and reconstructive surgery practice for closure of nasoseptal perforations during 3 years (January 1, 2008, to January 1, 2011).


METHODS
Medical records were reviewed to identify patient characteristics, symptoms, causes of nasoseptal perforations, and outcomes, including patient satisfaction and rate of recurrent nasoseptal perforation.


RESULTS
During 3 years at our institution, 7 patients were identified with nasoseptal perforations that had been closed using bilateral mucosal advancement flaps (one inferiorly based flap advanced from the floor of the nose and another superiorly based flap advanced from the lateral nasal wall). The nasoseptal perforations ranged from 0.6 to 1.6 cm. Most patients had excellent outcomes, with resolution of symptoms and no recurrence.


CONCLUSIONS
Nasoseptal perforations have traditionally been closed using 2 superiorly based flaps or 2 inferiorly based flaps. We present a novel technique combining both flaps for closure of moderate-sized nasoseptal perforations. This procedure decreases the risk for recurrence of the perforation, necrosis of the flaps, and development of a new perforation.
Department of Otolaryngology–Head and Neck Surgery, Baylor College of Medicine, One Baylor Plaza, 6501 Fannin, Houston, TX 77030, USA. pinnapur@bcm.edu
Nikhila
N
Raol
Krista
K
Olson
D006801:Humans; D009297:Nasal Mucosa / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome