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Updated: May 24, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Septal perforation repair: mucosal regeneration technique
Alper Yenigun1, Aysenur Meric, Aysegul Verim
1Department of Otorhinolaryngology and Head and Neck Surgery, Medical Faculty, Bezmiâlem Vakif University, Fatih, Istanbul, Turkey.
Summary
This study presents a new surgical technique using cartilage grafts to repair nasal septal perforations. The novel method effectively restored nasal function and patient comfort in most cases.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Regenerative Medicine
Background:
- Septal perforations can cause significant symptoms like crusting, whistling, and epistaxis.
- Existing repair methods may have limitations in efficacy and complexity.
Purpose of the Study:
- To evaluate a novel surgical technique for repairing symptomatic septal perforations.
- To assess the safety, efficacy, and functional outcomes of this new method.
Main Methods:
- Fifteen volunteers with symptomatic septal perforations underwent repair using an open rhinoplasty approach.
- An auricular conchal cartilage graft with intact perichondrium was utilized and secured with absorbable sutures.
- Patient symptoms and nasal mucociliary clearance time were assessed preoperatively and postoperatively.
Main Results:
- Successful repair was achieved in 93.3% of patients (14/15), with one requiring revision.
- Significant improvement in Visual Analogue Scale (VAS) scores for symptom severity (p < 0.001).
- Nasal mucociliary clearance time improved significantly at 3 and 6 months post-surgery.
Conclusions:
- The described technique is a novel, simple, and safe approach for septal perforation repair.
- This method is effective for perforations up to 25 mm in diameter.
- The procedure leads to substantial symptom relief and improved nasal function.
