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Updated: Sep 30, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Repair of postoperative and recurrent nasal septal perforations using L-strut overlay flap
Yury Rusetsky1,2, Zhanna Mokoyan3, Anna Elumeeva1,2
1Otorhinolaryngological Surgical Department, Department of Head and Neck Diseases, Federal State Autonomous Institution "National Medical Research Center of Children Health" of the Russian Federation Ministry of Health, Lomonosov Avenue, 2, 119991, Moscow, Russia.
Background:
Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations.
Method:
The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum. Seven patients were operated using "L-strut overlay" flap from June 2018 to October 2020. All patients had their perforations closed 12 months after surgery.
Conclusion:
Early results of our surgical technique have proven its simplicity and high effectiveness.
