Results of the endonasal surgical closure of nasoseptal perforations.

Eleven patients with nasal septal perforations were surgically treated within a period of seven years. Former septal surgery was the major cause of nasoseptal perforations. The technique most frequently used was a Cottle septoplasty with closure of the perforation by bipedicled flaps and interposition of autogenous cartilage and bone. The authors were inspired by Younger and Blokmanis's model and they used the following parameters to evaluate the results: location, size, symptoms pre- and post-operatively and also rhinoscopia pre- and post-operatively. In nearly all cases the perforation was closed with a decrease of the symptoms.