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Surgical technique for reconstruction of the nasal septum: the pericranial flap
V Paloma1, A Samper, F J Cervera-Paz
1Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Clínico de Barcelona, Barcelona, Spain.
Background:
We describe a new technique for the surgical reconstruction of large-sized anterior septal perforations based on the pericranial flap.
Methods:
The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of the nasal septum as a result of chronic cocaine abuse.
Results:
Surgery resulted in a permanent and complete closure of the perforation.
Conclusions:
The main advantage of this technique is the use of well-vascularized autogenous tissue and the minimal donor site morbidity. This technique provides a new method to close large nasal perforations.