Septal perforation repairing with combination of mucosal flaps and auricular interpositional grafts in revision patients.

Objectives: To examine the closure of nasal septal perforations with bilateral nasal floor flaps combined with auricular cartilage grafts and a normally functioning nose in revision patients.

Study Design: Case series with chart review.

Setting: A tertiary referral hospital in Turkey.

Subjects And Methods: Seventeen patients (11 men, 6 women) with nasal septal reperforation were treated surgically using combined bilateral nasal floor mucosal flaps with bilateral auricular cartilage interpositional grafts.

Results: The mean follow-up was 15.2 (range, 9-28) months. The average anteroposterior diameter of perforation was 28 ± 3 (range, 20-38) mm, and the average vertical diameter was 23 ± 8 (range, 20-27) mm at the widest site. The nasal septal perforations were closed completely in 16 cases; in 1 case, the perforation was not repaired completely.

Conclusions: A successful multilayer closure technique with good exposure was applied in patients with reperforation.