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Related Experiment Video

Updated: May 9, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Innovative technique for large septal perforation repair and radiological evaluation.

S Mocella1, F Muia, P G Giacomini

  • 1ENT Department, East Garda Bussolengo (VR), Italy. mocellastelio@gmail.com

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|July 16, 2013
PubMed
Summary

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Nasal septal perforations, often caused by trauma or medical treatments, can be challenging to repair. A novel surgical technique offers successful outcomes for various perforation types, including large defects, while also improving nasal aesthetics.

Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Medical Engineering

Background:

  • Nasal septal perforations stem from diverse causes including trauma, iatrogenic factors, infections, degenerative conditions, and substance abuse.
  • Existing surgical repair methods often yield unsatisfactory results, particularly for small to medium perforations, and may struggle to ensure permanent closure of large defects.

Purpose of the Study:

  • To evaluate the efficacy of various surgical techniques for nasal septal perforation repair.
  • To introduce and assess a novel surgical approach for treating nasal septal perforations of all sizes and etiologies.

Main Methods:

  • Review of surgical techniques reported in recent literature for nasal septal perforation repair.
  • Analysis of perforations and surgical approaches (open/closed) observed over eight years.
Keywords:
Diagnostic radiological nasal work-upNasal septal perforationOstecartilagineous humpReductive rhinoseptoplasty

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Last Updated: May 9, 2026

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  • Application and evaluation of a new surgical technique utilizing the osteocartilaginous donor site.

    • Main Results:

    • Traditional methods show limitations in repairing small and medium perforations, and ensuring permanent closure for large defects.
    • The proposed technique demonstrated success across various septal perforation types, including large ones.
    • The new method allows for the use of the osteocartilaginous donor site as a hump and is beneficial in reductive rhinoseptoplasty.

    Conclusions:

    • Nasal septal perforation repair remains a challenge, with varying success rates for existing techniques.
    • The novel surgical technique presented offers a promising solution for diverse septal perforations, including large defects.
    • This approach not only repairs perforations but also provides aesthetic enhancement in rhinoseptoplasty procedures.