fig1

Septal perforation

Figure 1. Illustrations of bilateral mucosal flap closure. (A) Extent of septal mucosal elevation on the left side; (B) Elevation superior to the perforation is avoided on the right side; (C) Superior and inferior flaps are advanced and sutured together for a tension-free closure on the left side; (D) The right inferior bipedicled flap is advanced to oppose the left-sided suture line and support the interposition graft; (E) An interposition graft is placed within the septal space to complete the perforation repair; (F) Repair is covered bilaterally with silicone sheeting.

Plastic and Aesthetic Research
ISSN 2349-6150 (Online)   2347-9264 (Print)

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https://www.portico.org/publishers/oae/