Septal perforation reconstruction cases can be examined in two parts: closing the hole and reinforcing the surrounding septal structure. Case records include instances where perforation repair was performed alongside septal reconstruction in patients with almost no remaining septal cartilage, as well as cases accompanied by reconstruction using autologous rib cartilage.
The original records include a case addressing a 7×9 mm perforation and another describing a 15×10 mm perforation closed with a skin graft. These dimensions and methods represent the specific patient records, and size alone is not the sole criterion for deciding the surgical approach. In addition to the size of the perforation, consider what was documented regarding the remaining cartilage, skin, and mucosa, as well as the actual reconstructive techniques performed.
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In a case where a 15×10 mm septal perforation and cartilage damage occurred after previous surgery, the perforation was closed with a skin graft and structural support was restored by reconstructing the septum with autologous rib cartilage.
Performed or used in this surgery
Cartilage penetrating the mucosa and a septal perforation after multiple surgeries were corrected through total reconstruction with autologous rib cartilage and repair of the perforation using ear perichondrium.
Performed or used in this surgery
A case where autologous rib cartilage was used for full septal reconstruction alongside dermis grafting to address repeated surgical history, septal perforation, and thinned nasal tip skin.
Performed or used in this surgery
To resolve contracture, septal perforation, and cartilage loss that occurred after Gore-Tex surgery performed long ago, the septum was reconstructed using autologous rib cartilage and the perforation was closed.
Performed or used in this surgery
In a patient with a history of past surgeries, septal perforation, and saddle nose deformity, septal reconstruction and extension using autologous rib cartilage, alar lowering, and direct closure were performed via a closed approach.
Performed or used in this surgery
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There are records describing cases where the perforation was closed while simultaneously reconstructing the septal structure in patients with almost no remaining septal cartilage. Another record describes reconstruction using autologous rib cartilage along with perforation correction. Because these cases involve both closure of the defect and reconstruction of the supportive framework, the surgical details should be read as distinct surgical steps rather than simplified into a single procedure.
These materials include individual cases documenting different defect sizes and surgical techniques. While one record notes a 15×10 mm perforation closed with a skin graft, this measurement alone cannot determine the approach for another patient. Reviewing the remaining cartilage, accompanying damage, and the tissues actually used in the original case reports helps clarify the differences between cases.
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