Yury Rusetsky1,2, Zhanna Mokoyan3, Anna Elumeeva1,2. 1. Otorhinolaryngological Surgical Department, Department of Head and Neck Diseases, Federal State Autonomous Institution "National Medical Research Center of Children Health" of the Russian Federation Ministry of Health, Lomonosov Avenue, 2, 119991, Moscow, Russia. 2. Otorhinolaryngological Department, Central State Medical Academy of the Presidential Executive Office, Marshala Timoshenko Street, 19/1A, 121359, Moscow, Russia. 3. Department of Ear, Nose and Throat Diseases, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Russian Federation Ministry of Health, Trubetskaya Street, 8, 119048, Moscow, Russia. god_zhan@mail.ru.
Abstract
BACKGROUND: Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations. METHOD: The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum. Seven patients were operated using "L-strut overlay" flap from June 2018 to October 2020. All patients had their perforations closed 12 months after surgery. CONCLUSION: Early results of our surgical technique have proven its simplicity and high effectiveness.
BACKGROUND: Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations. METHOD: The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum. Seven patients were operated using "L-strut overlay" flap from June 2018 to October 2020. All patients had their perforations closed 12 months after surgery. CONCLUSION: Early results of our surgical technique have proven its simplicity and high effectiveness.