[Repairing large perforation of nasal septum with titanium membrane and local pedicled mucoperiosteum flap].

OBJECTIVE: To study a new treatment to repair large perforation of nasal septum with medical titanium membrane and local padicled mucoperiosteum flap.

METHOD: The bottom mucoperiosteum of nasal cavity around the perforation of nasal septum were separated from the bone surface except with the margin part of perforation. Then the distal part of mucoperiosteum flap was incised and turn over to cover the perforation, free edge of the flap was sutured to secure immobilization. Finally, the Titanium membrane was cut to the right size to tuck into subperiosteal pocket around the perforation, and was sutured to the mucoperiosteal for added immobilization.

RESULT: The perforations of nasal septum in 11 patients were closed satisfactorily. Perforation of nasal septum did not recur and the follow-up time ranged from half a year to 1 year.

CONCLUSION: Titanium membrane is easy of application, and has good tissue tolerance. In our study, it is a good material to repair large perforation of nasal septum.