A Novel Technique For The Repair Of Nasal Septal Perforation: A
Bipediculated Crescent-Shaped Septal Flap
Abstract
Objective: Nasal septum perforation is an anatomical defect located in
the nasal septal cartilage/bone and mucosa. The most common cause of
nasal septal perforations is septoplasty. Repair of nasal septal
perforations is difficult regardless of the surgical technique due to
its location and health of the surrounding tissues. Currently, no
technique has been defined to be used for closure of all nasal septal
perforations. We aimed to present our bipediculated crescent-shaped
unilateral slide flap technique, which we designed and used as a novel
technique for closure of nasal septal perforations, and its surgical
results. Design: Retrospective study. Settings: Single-center patients
with nasal septum perforation. Participants: 36 patients who underwent
nasal septum perforation repair in our clinic between 2018-2022. All
patients underwent surgical procedure with the same technique by the
same surgeon. Main Outcome Measures: Nasal septum perforation closure
success at 6th month follow-up. Results: Thirty-six patients, including
20 males and 16 females, were included in the study. The mean age of the
patients was 35,58±9,6. The most common cause of nasal septal
perforation was previous septal surgeries. The septal perforation
dimensions of the patients were between 5-23 mm and the mean was
13,86±5,4 mm. Septal perforation closure rate was determined as 94.4%
in the 6 months follow-up results after surgery. Conclusion:
Bipediculated crescent shaped unilateral sliding flap is an effective,
easy and novel technique in the repair of nasal septal perforations.