Anterior ethmoidal artery septal flap for the management of septal perforation

Arch Facial Plast Surg. 2011 Nov-Dec;13(6):411-4. doi: 10.1001/archfacial.2011.44. Epub 2011 Jun 20.


Objectives: To achieve long-term closure of nasal septal perforations and to describe our surgical technique for repairing septal defects.

Methods: We describe 11 patients who underwent endoscopic repair of anterior septal perforations with a unilateral septal flap pedicled by the anterior ethmoidal artery. The patients were followed up for a period of 12 to 132 months (median follow-up, 51 months).

Results: There were no complications after surgery. All cases of septal perforation remained closed for the duration of follow-up.

Conclusion: Closure of a perforated nasal septum through an endonasal technique can be achieved with a unilateral mucosal flap based on the anterior ethmoidal artery.

MeSH terms

  • Adult
  • Arteries / surgery*
  • Endoscopy
  • Ethmoid Sinus / blood supply
  • Ethmoid Sinus / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Nasal Septal Perforation / surgery*
  • Surgical Flaps / blood supply*
  • Treatment Outcome