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Hello, Septal perforation repair is one of the most difficult procedures to perform. I developed a procedure to repair large septal perforations utilizing a pericranial flap. The use of this flap can help close larger perforations. Here are some methods of closure of septal perforation based on size:-Small (pinpoint)- not advised to fix small perforations, especially asymptomatic perforations that are stable. These should be observed. The risk of the procedure of increasing size after repair-Medium perforations- The use of a variety of techniques can be employed such as sliding flaps (can only repair perforations reliably at 1.5 cm), turbinate flaps (smaller perforations), and endoscopic rotational flaps (less than 1.5 cm) can be utilized.-Large perforations- The use of pericranial flaps (see above) and free flaps (requires ICU stay) are the only 2 options. I have had great success utilizing pericranial technique (see video below) to repair septal perforations.Best, Anil Shah MD
The cost of a septoplasty and turbinate surgery is determined by 3 fees. These are time under anesthesia, time in the operating room, and the surgeon's fee for performing the procedure. A septoplasty and turbinate surgery is performed for medical necessity and is usually billed the...
It is possible for a corrected septum to move after surgery, but it depends on how the septoplasty was done and what part of your septum was deviated. In most cases, the cartilage and bone of the septum inside your nose is considered "extra" and is physically removed in surgery. In that case,...
If you have an acceptable functional result, I would advise no additional surgery till at least 1 year post op. It may be possible to do a limited revision to shave down the widened area without compromising the nasal valve repair, or camoflaging it with a narrower onlay cartilage graft. I...
