Evaluation of the Efficacy of Surgery for Treatment of Septal Perforation

The majority of septal perforations are caused by trauma either with or without infection. In most cases trauma is related to the surgery. Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhinoplasty, bilateral rotational advancement flap of nose floor with using cartilage through closed method and inferior turbinate rotational flap. After the surgery, all symptoms disappeared and examinations of healing regions in fifteen patients showed that the perforation was completely healed. In five patients, the perforation size reduced. Inferior turbinate flap in small perforations would be a logical method with ideal results. In cases with perforation size of one centimeter or larger and in more posterior types, the external method is recommended for a better exposure.