[SMR, Septoplasty and the surgical treatment of septal perforations (author's transl)]

Submucous Resektion (SMR) operation ascribed to Killian-quite commonly taught-has serious deficiencies in some clinical situations. The more rational and conversative technique of septoplasty is explained and its principles and indications discussed. Postsurgical deformities after inappropriate SMR (i.e. septal perforation) can be avoided by performing a well executed conversative septoplasty. Complications of SMR as well as septoplasty are discussed. Some basic principles and indications for closure of nasal septal perforations are described.