Repair of Perforation of Nasal Septum with Rotated Pedicle Flap of the Floor of Nasal Cavity and Free Temporal Fascia

Objective To study a new treatment to repair perforation of nasal septum with rotated pedicle flap of the floor of nasal cavity and free temporal fascia. Methods The mucoperichondrium and mucoperiosteum around perforation of either side of nasal septum were separated and some temporal fascias were cut down, and the temporal fascias were sutured and the perforation could be covered completely. Then, the mucoperichondrium and mucoperiosteum around perforation of the other side of nasal septum were dissected and were took downward to the floor of nasal cavity to be made a posterior and pedicle flap, and the flap was rotated backward and upward to overlap the more large perforation and suturing the flap with the margin of the mucoperichondrium and mucoperiosteum of the perforation. Results Repair of the perforation in 15 cases was all successful with primary healing. The symptoms of nasal cavity disappeared completely. Perforation of nasal septum did not recur and the follow-up time ranged from 12 months to 36 months. Conclusion This repairing method has a lot of advantage. The graft is easy to take, no rejection, highly survival rate and wide and long enough to be available to the implant for repairing the larger perforation.