Cho et al1 present a novel method for repairing nasal septal perforations that they claim is easy, cost-effective, and associated with low patient morbidity. The technique involves the endonasal insertion of a polyethylene orbital implant that spans the perforation in the submucoperichondrial plane. The septal flaps are advanced as much as possible, and an inferior turbinate mucosal graft (presumably a free graft) is used in larger perforations. The technique completely relies on epithelial migration to slowly resurface the implant with mucosa. While the authors have had some success in a small series of patients, it seems to create a significant burden on the patient with regard to postoperative nasal care.
Burstein DH, Kridel RWH. Importance of Mucosal Closure in Nasal Septal Perforation Repair. JAMA Facial Plast Surg. 2013;15(4):322–323. doi:10.1001/jamafacial.2013.1504