Pedicled local mucosal flap and autogenous graft for the closure of nasoseptal perforations

Abstract

Conclusion. 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.