[Management of septal perforations by rotationplasty of the septal mucosa]

A unilateral mucosal flap from the septum with a wide pedicle and an axial blood supply was used for closure of septal perforations. In special cases this procedure was combined with a labial-buccal flap. 18 patients with perforations of different sizes were treated resulting in a permanent and complete closure in 12 cases. Relief of complaints was also noticed in the six patients with residual perforations. We therefore conclude that diminution and shifting of the perforation may be sufficient to relieve symptoms. The technique proved to be a safe and physiological procedure for the patients with septal perforations.