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Updated: May 31, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Anterior ethmoidal artery septal flap for the management of septal perforation
Paola Castelnuovo1, Fabio Ferreli, Iman Khodaei
1Department of Otorhinolaryngology Head–Neck Surgery, Hospital Macchi, University of Insubria, Varese, Italy.
Objectives:
To achieve long-term closure of nasal septal perforations and to describe our surgical technique for repairing septal defects.
Methods:
We describe 11 patients who underwent endoscopic repair of anterior septal perforations with a unilateral septal flap pedicled by the anterior ethmoidal artery. The patients were followed up for a period of 12 to 132 months (median follow-up, 51 months).
Results:
There were no complications after surgery. All cases of septal perforation remained closed for the duration of follow-up.
Conclusion:
Closure of a perforated nasal septum through an endonasal technique can be achieved with a unilateral mucosal flap based on the anterior ethmoidal artery.
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