Anterior ethmoidal artery septal flap for the management of septal perforation.

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.