Composite grafts from the postauricular area can be used to repair one side of a septal perforation. A sliding bipedicle flap is used from the floor of the nose to close the opposite side of the perforation. A good result with this technique would be expected since it is a well-known fact that composite auricular grafts have a high success rate when used to repair alar defects.
The case histories presented illustrate variations of the technique. In the first case, the graft is inserted without an incision of the nasal alar angle. In the second case, the nasal alar angle is incised to increase visibility. The third case utilizes an auricular composite graft to replace the lower lateral cartilage and a portion of the septum.
Kratz RC. Repair of Septal Perforations With Composite Grafts. Arch Otolaryngol. 1973;98(6):380–381. doi:10.1001/archotol.1973.00780020394006
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