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March 1971


Author Affiliations

Ear, Nose and Throat Head and Neck Surgery 2023 Vale Rd San Pablo, Calif 94806

Arch Otolaryngol. 1971;93(3):340. doi:10.1001/archotol.1971.00770060478025

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To the Editor.—Dr. Joseph S. Stovin replied to an article by Fairbanks and Chen in the Archives (91:403-406, 1970) regarding the repair of septal perforations. In his letter to the editor (92:304, 1970) Dr. Stovin erred when he stated "the majority of septal perforations are membranous and since it is almost impossible to separate the united flaps no satisfactory method of closure has been described."

First, I take issue with the fact that septal perforations are membranous, this is incorrect, most are cartilaginous whether due to surgery or injury. Finally, I refer the doctor to my article in conjunction with Dr. Emanuel Skolnik of Chicago entitled "Repair of Nasal Septal Perforations" in Transactions of the American Academy of Ophthalmology and Otolaryngology, November-December 1969, where the etiology and therapy are clearly defined. Here, he will see that the use of unilateral or bilateral intranasal mucousal flaps with sliding

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