Related Experiment Video
Updated: Dec 8, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Endoscopic Repair of Nasal Septal Perforations With Fascia Lata
Alper Ozdilek1, Ahmet Erdem Kilavuz, Gediz Murat Serin
1Ear Nose Throat Department, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Ic Erenkoy Mah. Kerem Aydinlar Kampusu, Kayisdag Cad, Atasehir, Istanbul, Turkey.
Purpose:
Nasal septal perforation (NSP) consists of defects of mucosa, cartilage, and bone. Nasal septal surgery is by far the most common cause of NSP. Many surgical approaches have been described for NSP repair. In this study, the authors describe a novel technique for repairing all sizes of NSP using an only fascia lata graft.
Methods:
The authors implemented a retrospective study design. Seventeen patients who underwent NSP repair between January 2016 and January 2019 were included to the study. Entire nasal surgical steps were performed under endoscopic view, harvested fascia lata graft is placed in tympanoplasty fashion after all edges of perforation is elevated and implantation bed is prepared.
Results:
The mean size of the septal peforations were 18.52 ± 4.17 mm horizontally, 11.52 ± 3.42 mm vertically. The mean follow up period was 14.47 ± 9.5 months (range: 2-36). In 15 of the 17 patients, total NSP closure was achieved (88,23%).
Conclusions:
Endoscopic close technique using fascia lata for nasal septal perforation closure is a safe and reliable technique with high success rate and it should be considered in patients with nasal septal perforation.
