Surgical Repair Treatments

Nasal Septal perforation (NSP) is a nasal condition affecting approximately 1% of the general population, often resulting in symptoms such as epistaxis, crusting, obstruction, and whistling. When conservative treatments prove ineffective, surgical repair becomes a viable option for motivated patients. Various surgical techniques, including autologous or synthetic grafts and different flap approaches, have been employed to achieve the common goal of restoring nasal function.

Treatment Approach 

In a retrospective study conducted from 2000 to 2018, the unilateral septal mucosal advancement flap, pedicled on the septal branches of the anterior ethmoidal artery (AEA), was employed for surgical repair. This technique, performed through an endoscopic endonasal approach, demonstrated promising results in terms of advantages, limitations, and long-term outcomes.

Surgical Repair

Image (1): Treatment Approach |  Author: OpenStax College | Image courtesy: Wikipedia.

Results and Success Rate

Out of 32 patients included in the study, the overall success rate was 81%. The success was categorised based on perforation size, with larger perforations (>2 cm) showing a slightly lower success rate. The study emphasises the importance of the vascular pedicle of the AEA flap, providing a robust and constant blood supply for successful repair.

Surgical Repair

Image (2): Results and Success Rate |  Author: OpenStax College | Image courtesy: Wikipedia.

Functional Outcomes Evaluation

Functional outcomes were evaluated using objective questionnaires, highlighting the presence or absence of symptoms such as nasal obstruction, epistaxis, crusting, and whistling. The study underscored the need for comprehensive postoperative evaluations to ensure both objective closure and subjective improvement in symptoms.

Surgical Repair

Image (3): Functional Outcomes Evaluation |  Author: OpenStax College | Image courtesy: Wikipedia.


In conclusion, the retrospective study on Nasal Septal Perforation and its Surgical Repair provides valuable insights into the efficacy of the unilateral septal mucosal advancement flap technique. With an overall success rate of 81%, the study highlights the importance of tailoring surgical approaches based on perforation size. Additionally, the emphasis on comprehensive postoperative evaluations using objective questionnaires adds depth to our understanding of functional outcomes.

Secure Your Appointment with Mr. Hassan

Request your appointment, whether virtual or in-person, by completing the form below. 

Our team will reach out to you within 48 hours to arrange a suitable date.

Please fill in all required fields.

Note: In case of an emergency, do not use this form. Instead, seek immediate medical assistance.