{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:00:15Z","timestamp":1785405615698,"version":"3.56.0"},"reference-count":5,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septal perforation repair remains technically challenging, particularly in defects requiring stable graft support for closure. We describe an endoscopic double\u2010layer fascia lata technique and report surgical outcomes in a consecutive case series. Adult patients who underwent endoscopic septal perforation repair between 2022 and 2024 were reviewed, and 26 patients with perforations &gt;1\u2009cm were included. Perforations were measured in anterior\u2013posterior and cranio\u2010caudal dimensions, and graft size was determined according to the longest diameter. A fascia lata graft harvested from the thigh was folded to create a double\u2010layer construct and secured with an absorbable suture. The graft was placed beneath the elevated mucoperichondrial flap and stabilized with bilateral splints for approximately 3 weeks. Complete closure was achieved in 24 patients (92.3%), while 2 patients with perforations \u22654\u2009cm had partial closure. No perioperative or postoperative complications were observed.<\/jats:p>","DOI":"10.1002\/ohn.70348","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:14:12Z","timestamp":1785402852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Repair of Septal Perforation Using a Double\u2010Layer Fascia Lata Technique"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3550-6737","authenticated-orcid":false,"given":"Kutluhan","family":"Cevher","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Tepecik Training and Research Hospital Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozlem Y.","family":"Agayarov","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Tepecik Training and Research Hospital Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"issue":"1","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/MOO.0b013e32834dfb21","article-title":"Nasal septal perforation repair: predictive factors and systematic review of the literature","volume":"20","author":"Kim SW","year":"2012","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"issue":"4","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.fsc.2019.07.002","article-title":"Approach to correction of septal perforation","volume":"27","author":"Kridel RWH","year":"2019","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"7","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.1097\/SCS.0000000000006641","article-title":"Endoscopic repair of nasal septal perforations with fascia lata","volume":"31","author":"Ozdilek A","year":"2020","journal-title":"J Craniofac Surg"},{"issue":"2","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1097\/SCS.0000000000009876","article-title":"A novel technique for septal perforation repair: fascia lata graft","volume":"35","author":"Hanci D","year":"2024","journal-title":"J Craniofac Surg"},{"issue":"6","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"486","DOI":"10.14639\/0392-100X-1313","article-title":"Endoscopic repair of nasal septal perforation","volume":"37","author":"Cassano M","year":"2017","journal-title":"Acta Otorhinolaryngol Ital"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70348","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:14:13Z","timestamp":1785402853000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":5,"alternative-id":["10.1002\/ohn.70348"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70348","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2025-12-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ohn.70348"}}