• Repair of nasoseptal perforations is a difficult problem for the otolaryngologist. Recently, there has been an increased incidence among patients, particularly with the rise in cocaine abuse and trauma. The variety of proposed methods of repair points to the lack of a definitive solution for successful surgical treatment of nasoseptal perforations. Successful septal perforation repairs using an open rhinoplasty approach with bipedicled mucoperichondrial flaps and temporal fascia grafts were achieved in eight of nine patients in a series. Resident otolaryngologists in training were the primary surgeons in all nine patients. The
Arnstein DP, Berke GS. Surgical Considerations in the Open Rhinoplasty Approach to Closure of Septal Perforations. Arch Otolaryngol Head Neck Surg. 1989;115(4):435–438. doi:10.1001/archotol.1989.01860280033012
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