A total septal repair with pericranial flap (PCF) using the “money box approach”1 was carried out in a man in his 40s with septal perforation (52 × 34 mm) due to drug abuse (Figure 1). The technique can be viewed in Video 1 and Video 2. This report provides step-by-step guidance on how to rebuild a new nasal septum, highlighting key learning points and potential operative pitfalls.
Alobid I, Langdon C, Santamaría A. Technique to Repair Total Septal Perforation With a Pericranial FlapThe Money Box Approach. JAMA Facial Plast Surg. Published online February 15, 2018. doi:10.1001/jamafacial.2017.2413
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