Pedicled local mucosal flap and autogenous graft for the closure of nasoseptal perforations.

CONCLUSION: The results suggest that the procedure is effective in the repair of nasal septal perforations (10-20 mm in diameter). Therefore, we consider it to be a good alternative for repairing nasal septal perforations.

OBJECTIVE: To introduce and evaluate a technique of pedicled local mucosal flap with the interposition of an autogenous graft in the repair of nasal septal perforations.

METHODS: Between 2004 and 2008, the clinical notes of 28 patients with nasal septal perforations (10-20 mm in diameter) undergoing the surgery of pedicled local mucosal flap with the interposition of an autogenous graft were reviewed.

RESULTS: Complete perforation closure was achieved in 26 cases (92.9%). Two patients had a reperforation, one receiving a second technique and a subsequent successful closure of the perforation; the other case with an asymptomatic perforation did not undergo further surgery. No serious complications were encountered.