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Updated: Jun 1, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Septal perforation repairing with combination of mucosal flaps and auricular interpositional grafts in revision
Umit Taskin1, Ozgur Yigit, Sezim A Sisman
1Bagcilar Education and Research Hospital, Otolaryngology-Head and Neck Surgery Clinic, Istanbul, Turkey. taskin_umit@yahoo.com
Objectives:
To examine the closure of nasal septal perforations with bilateral nasal floor flaps combined with auricular cartilage grafts and a normally functioning nose in revision patients.
Study Design:
Case series with chart review.
Setting:
A tertiary referral hospital in Turkey.
Subjects And Methods:
Seventeen patients (11 men, 6 women) with nasal septal reperforation were treated surgically using combined bilateral nasal floor mucosal flaps with bilateral auricular cartilage interpositional grafts.
Results:
The mean follow-up was 15.2 (range, 9-28) months. The average anteroposterior diameter of perforation was 28 ± 3 (range, 20-38) mm, and the average vertical diameter was 23 ± 8 (range, 20-27) mm at the widest site. The nasal septal perforations were closed completely in 16 cases; in 1 case, the perforation was not repaired completely.
Conclusions:
A successful multilayer closure technique with good exposure was applied in patients with reperforation.
