Paloma V, Samper A, Cervera-Paz F J
Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Clínico de Barcelona, Barcelona, Spain.
Head Neck. 2000 Jan;22(1):90-4. doi: 10.1002/(sici)1097-0347(200001)22:1<90::aid-hed14>3.0.co;2-2.
We describe a new technique for the surgical reconstruction of large-sized anterior septal perforations based on the pericranial flap.
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.
Surgery resulted in a permanent and complete closure of the perforation.
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.