Endonasal Septal Perforation Repair

Name: Endonasal Septal Perforation Repair
Rating: 4.5 (46 reviews)

detailed explanation of rotation flap technique for closure of perforations

Created bySteven Houser, MD

Last updated 4/2016

English

English [Auto],

What you'll learn

close a septal perforation successfully

Course content

4 sections • 9 lectures • 45m total length

Introduction0:37
Introduction to perf repair4:15
Explore a rotation flap approach to endonasal septal perforation repair that minimizes suture tension, bolsters the mucosa with dermal products, and extends from sliding techniques to base flap methods.

Septal perforation overview10:50
Identify septal anatomy, causes, and surgical options for septal perforation, then perform a rotation flap with a septal dermal graft to achieve a durable, low-tension closure.
perforation repair schematic10:20
Plan endonasal perforation repair by selecting the side with more space, rotate a mucosal flap after septoplasty, and reinforce with cellular dermis and sutures.

Septal perforation closure6:05
Close a septal perforation endoscopically with a left hemi-transfix incision and a right-side rotation flap, elevating mucosa, removing a spur, and grafting with cellular dermis to secure closure.
Septal rotation flap cut6:05
Explore the septal rotation flap technique for endonasal septal perforation repair, using a crescent knife and endoscopic scissors to craft a donor-flap and rotate it to seal the hole.
Pediatric septal perforation repair6:14
Demonstrates pediatric septal perforation repair using a left dermal graft scaffold and a right rotation flap, followed by Doyle splint management and rapid vascularized healing.

Requirements

understanding of nasal anatomy
understanding of basic surgical techniques
understanding of typical nasal assessment

Description

This course will discuss the anatomy of the septum, origin of septal perforations, and discuss the methods to repair a septal perforation. An emphasis is placed up the authors preferred technique - that of a endonasal septal rotation flap with acellular dermal graft support. It is assumed that the viewer has a fair amount of understanding of nasal issues including anatomy and surgical techniques. Multiple videos of the technique including live endoscopic images, still photos, 2-dimensional "how I do it," and narrated slide sets. It is the author's hope that this course will be of significant benefit to a practicing nasal surgeon, and allow them to adopt this technique and apply it to their patients.

Who this course is for:

practicing otolaryngologists
otolaryngology residents
nasal surgeons
interested public

Endonasal Septal Perforation Repair

What you'll learn

Explore related topics

Course content

Introduction2 lectures • 5min

Septal perforation overview2 lectures • 21min

Septal perforation clinical views3 lectures • 18min

Septal perforation practical issues2 lectures • 1min

Requirements

Description

Who this course is for: