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.