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July 1988

Repair of Nasal Septal Perforation Utilizing the Midface Degloving Technique

Author Affiliations

From the Department of Otolaryngology–Head and Neck Surgery, New York Medical College, and the Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary.

Arch Otolaryngol Head Neck Surg. 1988;114(7):739-742. doi:10.1001/archotol.1988.01860190043019

• A technique utilizing the midfacial degloving approach in the repair of nasal septal perforations in 24 patients is reported. The midface degloving approach was limited to patients with septal perforations greater than 3 cm and failed prior attempts at surgical closure. Bilateral posteriorly based unipedicled flaps were utilized in the septal closure. Complete closure was accomplished in 75% (18/24) of cases, with a follow-up of one to three years. Complications included reperforation in 25% (6/24) of cases and partial vestibular stenosis in 20% (5/24) of cases. A modification of our technique, relining the nasal floor with postauricular full-thickness skin grafts, has alleviated vestibular stenosis.

(Arch Otolaryngol Head Neck Surg 1988;114:739-742)