Combining polydioxanone plate, conchal cartilage interpositional graft and rotation flaps for repair of septal perforation

IntroductionNasal septal perforations repair, especially traumatic ones, is a very challenging subject. A lot of repair procedures had been described in the literature with variable success rates; but mostly not reaching as high as a 94% success rate.Aim of workCombining polydioxanone (PDS) plate, conchal cartilage interpositional graft and rotation flaps for repair of septal perforation; how I do it?Patients and methodsA prospective cohort study of eighteen patients who underwent repair of septal perforation using autologous conchal cartilage graft and PDS flexible plate with nasal mucosal rotational flap.ResultsComplete closure in 94.4%.ConclusionCombining conchal cartilage graft with PDS plate, through an external rhinoplasty approach, together with nasal floor mucosal flap covering this cartilage gives high success rates.