Application of the radial forearm free flap for closure of very large nasoseptal perforations

Successful closure of very large (greater than 3 cm) nasal septal perforations is a formidable and technically challenging surgical task. This is largely attributed to volume restricted confines of the nasal cavity, and the availability and dependability of residual mucosal tissue for repair. This article details the microvascular free tissue transfer option, using a radial forearm fasciocutaneous free flap, and describes the functional recovery in two patients on which it was used.