Endoscopic Repair of Septal Perforation

Edited by: Ahmad Sedaghat, MD

Indications:

• Anterior septal perforation
• Symptoms of nasal crusting, bleeding, or whistling
• Perforation diameter of less than 15 mm

Highlights:

• Edges of perforatioin are freshened
• Elevation of bilateral septal mucosal flaps
• Flaps sutured anteriorly for 2-layer closure

Keep in mind:

• Surgical repair does not have a high success rate for perforations larger than 15 mm
• Although surgery may close a symptomatic anterior perforation, rotation of mucosal flaps may result in a new asymptomatic posterior perforation.