How To: Novel Endoscopic Technique to Repair Large Septal Perforation

RESULTS

Six patients with symptomatic SP who underwent endoscopic repair with an extended AEA flap were included (mean age 46.5 (36-66) years old, 50% female). The first patient, a 41-year-old woman, presented with a 3.5-cm SP due to orthognathic surgery 10 years ago. The second patient, a 66-year-old woman, suffered a 4-cm SP because of prior rhinoplasty and past history of cocaine abuse. Two other patients, a 45-year-old man and a 36-year-old woman, had an SP of between 3 and 3.5 cm due to a previous septoplasty. Two other patients, two men aged 45 and 46 years, suffered from bothersome symptoms due to a 3.5 cm SP secondary to past history of cocaine abuse without previous surgeries. Complete closure of the SP in all cases was achieved. Silicone splints were placed in all cases for four weeks. Follow-ups of 11.3 (16-8) months showed no evidence of recurrence.

In the radiological analysis, an average sphenoid rostrum area of 3.0 ± 0.5 cm² and an average area of the floor and inferior meatus of 13.4 ± 1.9 cm² were obtained. This technique provides an additional tissue of 16 cm².