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Surgical technique for reconstruction of the nasal septum: The pericranial flap

✍ Scribed by Vicente Paloma; Alberto Samper; Francisco J. Cervera-Paz

Publisher: John Wiley and Sons
Year: 2000
Tongue: English
Weight: 271 KB
Volume: 22
Category: Article
ISSN: 1043-3074
DOI: 10.1002/(sici)1097-0347(200001)22:1<90::aid-hed14>3.0.co;2-2

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✦ Synopsis

Background. We describe a new technique for the surgical reconstruction of large-sized anterior septal perforations based on the pericranial flap.

Methods. The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of the nasal septum as a result of chronic cocaine abuse.

Results. Surgery resulted in a permanent and complete closure of the perforation.

Conclusions. The main advantage of this technique is the use of well-vascularized autogenous tissue and the minimal donor site morbidity. This technique provides a new method to close large nasal perforations.

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