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Surgical technique for reconstruction of the nasal septum: The pericranial flap
Author(s) -
Paloma Vicente,
Samper Alberto,
CerveraPaz Francisco J.
Publication year - 2000
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/(sici)1097-0347(200001)22:1<90::aid-hed14>3.0.co;2-2
Subject(s) - medicine , nasal septum , surgery , perforation , nasal cavity , head and neck , rhinoplasty , nose , punching , materials science , metallurgy
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. © 2000 John Wiley & Sons, Inc. Head Neck 22: 90–94, 2000.