Anterior ethmoidal artery septal flap for the management of septal perforation

Objectives
Achieving long-term closure of nasal septal perforations remains as one of the most challenging goals in nasal surgery. The aim of
this study was to describe our surgical technique to repair septal defect.
Methods
We present eleven patients who underwent an endoscopic repair of anterior septal perforations with unilateral septal flap pedicled
by anterior ethmoidal artery. The patients were followed for a period of 24-146 months (median, 63 months).
Results
There were no complications after the operation. All cases of septal perforation remained closed for the duration of follow-up.
Conclusion
Closing a perforated nasal septum through an endonasal technique can be achieved with a unilateral mucosal flap based on the
anterior ethmoidal artery.