Inferior turbinate flap for repair of nasal septal perforation.

INTRODUCTION Many surgical techniques are available for surgical repair of nasal septal perforations. The variety of techniques is evidence that no single technique is recognized as being uniformly reliable in closing all perforations. In fact, most perforations remain unclosed because available closure techniques are technically difficult and require training and experience to master. Many authors have described high success rates with their techniques, but these results are not reproducible by all surgeons. We have found success using the inferior turbinate as a composite flap as an option that may be helpful in selected cases. It is not to be presented as a replacement to currently accepted standard techniques using advancement flaps, but certainly may be an option in caudal septal perforations when advancement techniques are more difficult.