Surgical technique for reconstruction of the nasal septum: The pericranialflap

Background. We describe a new technique for the surgical reconstruction of large-sized anterior septal perforations based on the pericranial flap. Methods. The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of th e nasal septum as a result of chronic cocaine abuse. Results. Surgery resulted in a permanent and complete closure of the perfor ation. Conclusions. The main advantage of this technique is the use of well-vascul arized autogenous tissue and the minimal donor site morbidity. This techniq ue provides a new method to close large nasal perforations. (C) 2000 John W iley & Sons, Inc.