An organized technique for managing intraoperative septal tears was de
veloped based on 98 patients who endured septal tears. Small nonopposi
ng perforations are allowed to heal spontaneously. Opposing tears, wit
h sizes varying from less than 1 cm to greater than 2 cm, are repaired
first on one side of the mucoperichondrium with the reinsertion of a
straight piece of septal cartilage; the other side of the mucoperichon
drium is then repaired.