Abstract
A surgical technique for closure of septal perforations is described, along with an illustrative case report. The technique consists of a posterolaterally based sliding advancement flap of the nasal mucosa covering the inferior turbinate, inferolateral nasal wall, and floor of nose. It has proven effective in closure of several large septal defects as illustrated in the case report.
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References
1.
Fairbanks
D.N.
Closure of nasal septal perforations . Arch Otolaryngol 106 : 509 –513 , 1980 .
2.
Belmont
J.R.
An approach to large nasoseptal perforations and attendant deformity . Arch Otolaryngol 111 : 450 –455 , 1985 .
3.
Faces
G.W.
,
Kern
E.B.
Non-surgical closure of nasal septal perforations . Arch Otolaryngol 105 : 6 –8 , 1979 .
4.
Beekhuis
G.J.
,
Eisenstein
B.
Repair of nasal septal perforations with a silicone button . Laryngoscope 87 : 635 –637 , 1977 .
5.
Pallanck
J.F.
,
Facer
G.W.
,
Kern
E.B.
Prosthetic closure of nasal septal perforations . Otolaryngol Head Neck Surg 90 : 448 –452 , 1982 .
6.
Behrman
W.
Perforation septi nasi-free transplantation . Acta Otolaryngol 34 : 78 –81 , 1946 .
7.
Genecke
H.
,
Meyer
R.
Plastic Surgery of the Head and Neck. New York : Springer-Verlag, pp. 140–143, 1964 .
8.
Gollom
J.
Perforation of the nasal septum, the reverse flap technique . Arch Otolaryngol 88 : 84 –88 , 1968 .
9.
Fairbanks
D.N.F.
,
Chen
S.C.A.
Closure of large nasal septum perforations . Arch Otolaryngol 91 : 403 –406 , 1970 .
10.
Tipton
J.B.
Closure of large septal perforations with a labialbuccal flap . Plast Reconstr Surg 46 : 514 –515 , 1970 .
11.
Hirschowitz
B.
,
Moscona
R.
,
Eliachar
I.
Closure of septal perforation in Ostel-Weber-Rendu's disease by bilateral labial buccal flaps . Plast Reconstr Surg 62 : 296 –299 , 1978 .
12.
Tardy
M.E.
Sublabial mucosal flap: repair of septal perforations . Laryngoscope 87 : 275 –278 , 1977 .
13.
Kratz
R.C.
Repair of septal perforations with composite grafts . Arch Otolaryngol 98 : 380 –381 , 1973 .
14.
Goodman
W.S.
,
Strelzow
V.V.
The surgical closure of nasoseptal perforations . Laryngoscope 92 : 121 –124 , 1982 .
15.
Karlan
M.S.
,
Ossoff
R.
,
Christu
P.
Reconstruction for large septal perforations . Arch Otolaryngol 108 : 433 –436 , 1982 .