{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:18:53Z","timestamp":1792840733316,"version":"4.5.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nasal septum perforation (NSP) is an anatomical defect of the mucosa, cartilage\/bone of nasal septum and septoplasty is the most common cause of it. A perforated septum rarely heals on its own, it is more likely to get worse. The success for large perforations is approximately 78%, it is harder to be successful in vertically larger perforations. We introduce a new technique to close large perforations by the fascia lata and costal cartilage sandwich graft (FLSG). The main advantage of this technique is that the fascia lata eliminates the opening between the septal mucosal flaps in case the septal mucosal flaps may not meet each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>16 cases presenting with nasal septum perforation were repaired with the FLSG technique. Grafts were harvested, the perforation was accessed through open rhinoplasty approach, FLSG is inserted and sutured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>16 cases consisting of 9 males (56.25%) and 7 females (43.75%) were operated. The age range was between 20 and 43 years (mean 32.6 \u00b1 6.94). 3 cases (18.75%) had medium and 13 cases (81.25%) had large NSP. 8 cases (50%) were smokers. Nine month postoperatively, all medium NSP were closed. During this period, 14 NSP (87.5%) medium size NSP achieved complete closure, while the remaining two NSP that were yet to close had large defects (&gt;2 cm) and smokers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>FLSG is an effective, easy, and novel technique in NSP repair and the postoperative controls have proven a high success rate even in large NSP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_484_20","type":"journal-article","created":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T02:18:50Z","timestamp":1641867530000},"page":"1531-1534","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["A novel technique in septal perforation"],"prefix":"10.4103","volume":"24","author":[{"given":"D","family":"Hanci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Gurpinar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Sari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Uyar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-18-20240907","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s11882-018-0754-1","article-title":"Nasoseptal perforation: From etiology to treatment","volume":"18","author":"Pereira","year":"2018","journal-title":"Curr Allergy Asthma Rep"},{"key":"R2-18-20240907","doi-asserted-by":"crossref","first-page":"E349","DOI":"10.1002\/lary.27949","article-title":"The effect of curcumin on healing in animal nasal septal perforation model","volume":"129","author":"\u00c7akan","year":"2019","journal-title":"Laryngoscope"},{"key":"R3-18-20240907","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1017\/S002221510700566X","article-title":"Different surgical treatments for nasal septal perforation and their outcomes","volume":"121","author":"Goh","year":"2007","journal-title":"J Laryngol Otol"},{"key":"R4-18-20240907","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1001\/archfaci.9.1.12","article-title":"A review of 25-year experience of nasal septal perforation repair","volume":"9","author":"Pedroza","year":"2007","journal-title":"Arch Facial Plast Surg"},{"key":"R5-18-20240907","first-page":"216","article-title":"Management of nasal septal perforation using silicone nasal septal button","volume":"26","author":"Mullace","year":"2006","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"R6-18-20240907","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1007\/s00276-015-1610-9","article-title":"A unilateral septal flap based on the anterior ethmoidal artery (Castelnuovo's flap): CT Cadaver study","volume":"38","author":"Gras-Cabrerizo","year":"2016","journal-title":"Surg Radiol Anat"},{"key":"R7-18-20240907","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.otc.2009.03.011","article-title":"Surgical management of the septal perforation","volume":"42","author":"Watson","year":"2009","journal-title":"Otolaryngol Clin N Am"},{"key":"R8-18-20240907","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1177\/0194599816659277","article-title":"Endoscopic endonasal repair of septal perforation with interpositional auricular cartilage grafting via a mucosal regeneration technique","volume":"155","author":"Ozturan","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R9-18-20240907","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1017\/S0022215100137569","article-title":"Modified tragal cartilage-temporoparietal and deep temporal fascia sandwich graft technique for repair of nasal septal perforations","volume":"111","author":"Hussain","year":"1997","journal-title":"J Laryngol Otol"},{"key":"R10-18-20240907","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1001\/archotol.1986.03780020048011","article-title":"Septal perforation closure utilizing the external rhinoplasty approach","volume":"112","author":"Kridel","year":"1986","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"R11-18-20240907","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1002\/alr.21030","article-title":"Endonasal repair of septal perforations using a rotational mucosal flap and a cellular dermal interposition graft","volume":"2","author":"Chhabra","year":"2012","journal-title":"Int Forum Allergy Rhinol"},{"key":"R12-18-20240907","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1001\/jamafacial.2016.1367","article-title":"Use of costal perichondrium as an interpositional graft for septal perforation closure","volume":"19","author":"Toriumi","year":"2017","journal-title":"JAMA Fasc Plast Surg"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_484_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:53:48Z","timestamp":1787756028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_484_20"}},"subtitle":["Fascia lata and costal cartilage sandwich graft"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_484_20","relation":{},"ISSN":["1119-3077"],"issn-type":[{"value":"1119-3077","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}