Closure of nasal septal perforations.

Twenty patients with nasal septal perforations were treated in a seven-year period by closure with a combined flap and graft technique. Nineteen patients (95%) reported relief of symptoms and showed complete closure of their perforations on follow-up examinations one to seven years later. The technique employs bipedicled mucosal advancement flaps, designed to maximize blood supply for flap viability, and an underlying connective tissue autograft (fascia or pericranium) for structural reinforcement.