Review Outlines Technique Selection for Septal Perforation Repair

A literature review on nasal septal perforation repair reports that technique selection is guided by perforation size, location, etiology, and patient risk factors, with closure rates ranging from 84% to 98% across approaches. The review states that mucosal advancement flaps are supported for perforations under 1 cm, bilateral advancement with grafting or trilayer constructs for 1-2 cm perforations, and pedicled flaps for perforations 2 cm or larger or revision cases. It also reports that active smoking, uncontrolled diabetes, and ongoing intranasal drug use are independently associated with significantly increased failure rates.

Most relevant for: Patients being evaluated for surgical repair of nasal septal perforation, including those with active smoking, uncontrolled diabetes, or intranasal drug use.

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