6x3 cm Large Nasal Septal Perforation Repairing Surgery and 3 Months After Result

Nasal Septal Perforation Repair "Perpendicular Plate of Ethmoid Bone With Vomer + Rib Cartilage Were Used" We performed an open technique, nasal septal hole closure surgery on a patient with an ovoid-shaped, very large septal perforation of traumatic origin, approximately 6x3 cm in size. After the columellar incision was made, the alar cartilages were dissected in the vertical plane. Partially, perpendicular plate of ethmoid bone and vomer bone were removed with the help of scissors and dissector. With the green injector tip, a hole was made in the bone lamella, cartilage grafts were prepared from the rib cartilages and these bone were sutured together with the lamellas. The septum perforation was dissected in the vertical plane. The edges of the perforation were depepithelized. It was placed vertically in the perforation area. It was observed that the mucosal grafts were in contact with the placed bone + cartilage grafts on both sides. Internal silicone splints with cut exte