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Updated: Jan 6, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Approach to Correction of Septal Perforation
Russell W H Kridel1, Sean W Delaney2
1Facial Plastic Surgery Associates (Private Practice), 6655 Travis Street, Suite 900, Houston, TX 77006, USA; Division of Facial Plastic Surgery, Department of Otorhinolaryngology - Head and Neck Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA.
Abstract:
Iatrogenic septal perforation is a complication of nasal surgery. Small or posterior perforations cause few symptoms, and need only conservative treatment. Larger and anterior perforations contribute to nasal airflow disturbances and external nasal deformities. When considering surgical candidacy, one should consider the severity of symptoms, location and size of the perforation, and need for revsional rhinoplasty. We repair perforations using intranasal mucosal advancement flaps augmented by an interposition connective tissue graft. Septal perforation repairs are tedious and technically challenging. We review key points to minimize unintended perforation formation following nasal surgery.
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