title: [Bipedicled flap technique according to Schultz-Coulon using open approach for septal defect repair].
abstract: BACKGROUND
  The successful closure of a nasal septal perforation is a surgical challenge, which applies especially to large defects with a diameter exceeding 2.0 × 2.0 cm. This retrospective study presents results using open septoplasty via a transcolumellar approach and bipedicled flaps according to Schultz-Coulon for closure.
  
  
  RESULTS
  In 45/50 patients the perforation was closed successfully (90%) (CI 0.82-0.98). The survey of patients showed significant improvement rates for all questioned parameters.
  
  
  CONCLUSIONS
  In our hands the bipedicled flap technique combined with open access to the nasal septum yields good success rates for closure and consecutive improvement of life quality, also for large defects exceeding 2.0 × 3.0 cm. The open approach provides cosmetically excellent results based on the appropriate suture techniques and is advantageous concerning intraoperative overview and suture of the mucosal flaps. Additionally it can be easily combined with an open septorhinoplasty.
authors.affiliation: Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen.
authors.forename: P
authors.initials: P
authors.lastname: Weller
authors.forename: J
authors.initials: J
authors.lastname: Greve
authors.forename: L
authors.initials: L
authors.lastname: Heusgen
authors.forename: S
authors.initials: S
authors.lastname: Winterhoff
authors.forename: N
authors.initials: N
authors.lastname: Rothmeier
authors.forename: T K
authors.initials: TK
authors.lastname: Hoffmann
authors.forename: S
authors.initials: S
authors.lastname: Mattheis
authors.forename: G
authors.initials: G
authors.lastname: Lehnerdt
authors.forename: S
authors.initials: S
authors.lastname: Lang
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation; D003131:Combined Modality Therapy; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000601:surgery*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011788:Quality of Life; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps / Q000601:surgery*; D013536:Suture Techniques; D055815:Young Adult