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Updated: Jul 14, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal septal perforation repair using oral mucosal flaps
Leonid Kogan1, Peter Gilbey, Alvin Samet
1Plastic & Reconstructive Surgery Unit, Western Galilee Hospital, Nahariya, Israel.
Background:
Surgery for the closure of nasal septal perforations is challenging. Numerous techniques have been described.
Objectives:
To assess whether nasal septal perforations heal less consistently if a connective tissue scaffold is not placed between the repaired septal flaps.
Methods:
We performed closure of a septal perforation via a closed approach using oral mucosal flaps without the interposition of a connective tissue graft in seven patients.
Results:
Complete perforation closure was achieved in 5 cases (71.4%). There was no significant donor site morbidity.
Conclusions:
These initial results suggest that this is an effective technique for closing nasal septal perforations; it obviates the morbidity of the open approach and the added operating time and morbidity associated with the harvesting of a connective tissue graft.
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