Related Experiment Video

Updated: Jul 16, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Nasal septal perforations: our surgical technique

Livio Presutti1, Matteo Alicandri Ciufelli, Daniele Marchioni

  • 1Department, Policlinico di Modena, Università degli Studi di Modena e Reggio Emilia, Modena, Italy.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 27, 2007
PubMed
Abstract

Insights

This study presents an endoscope-assisted surgical technique for nasal septal perforations. The novel method achieved a 96.3% success rate in closing perforations smaller than 3 cm.

Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Innovation

Background:

  • Nasal septal perforations can significantly impact quality of life.
  • Previous surgical techniques often involve grafts and external incisions, leading to donor site morbidity.
  • Endoscopic approaches offer potential for improved precision and reduced invasiveness.

Purpose of the Study:

  • To describe a novel endoscope-assisted surgical technique for treating nasal septal perforations.
  • To evaluate the efficacy and outcomes of this technique in a patient cohort.

Main Methods:

  • A cohort of 31 patients with nasal septal perforations underwent treatment.
  • The technique involved bilateral dissection of monopedicled mucosal flaps from the nasal fossa floor.
  • Flaps were sutured to close the perforation without interposing any graft, utilizing an endonasal approach.

Main Results:

  • The technique demonstrated a high success rate, with 96.3% of perforations smaller than 3 cm being persistently closed.
  • Follow-up was conducted for at least one year post-surgery.
  • The endonasal approach avoided external incisions and donor site morbidity.

Conclusions:

  • The described endoscope-assisted technique is effective for closing nasal septal perforations, particularly those smaller than 3 cm.
  • Advantages include an endonasal approach, no external incisions, and avoidance of graft-related morbidity.
  • Nasal endoscopy enhances surgical precision, contributing to the technique's high success rate.

More Related Videos

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy06:08

A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy

Published on: January 23, 2026

Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...