فهرست نشریات علمی دسترسی آزاد ایران

Background: The majority of septal perforations are caused by trauma either with or without infection. In most of the cases trauma is related to the surgery.Methods:   Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhinoplasty, bilateral rotational advancement flap of nose floor with using cartilage through closed method and inferior turbinate rotational flap.Results: After the surgery, all symptoms disappeared and examinations of healing regions in fifteen patients showed that the perforation was completely healed. In five patients, the perforation size reduced.Conclusion: Inferior turbinate flap in small perforations would be a logical method with ideal results. In cases with perforation size of one centimeter or larger and in more posterior types, the external method is recommended for a better exposure.