Arch Aesthetic Plast Surg.  2012 Jun;18(2):89-92.

Sandwich Graft using Ear Cartilage and Inferior Turbinate Mucoperiosteal Free Graft Via Open Rhinoplasty Approach for Repair of Nasal Septal Perforation

  • 1Department of Otorhinolaryngology-Head & Neck Surgery, Sun General Hospital, Daejeon, Korea.
  • 2Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.


Repair of nasal septal perforation is a challenging problem to surgeons. Many surgical techniques which were reported through many literatures did not show high success rate constantly. The aim of this study was to examine the surgical technique of sandwich graft using inferior turbinate mucoperiosteal free graft and ear cartilage via open rhinoplasty approach. MATERIAL & METHODS: From May 2008 to December 2010, 7 patients who were suffered from nasal septal perforation underwent sandwich graft using ear cartilage and inferior turbinate mucoperiosteal free graft via open rhinoplasty approach.
Mean age was 45+/-10.1 years (28~60 years old). We followed up 7 patients for 2 months after the surgery. Six of the 7 patients had a complete closure and one patient achieved incomplete closure. One patient who had incomplete closure was treated by primary closure again.
Sandwich graft of inferior turbinate mucoperiosteal free graft and ear cartilage via open rhinoplasty approach showed high success rate and relatively easy surgical technique.


Nasal septal perforation; Turbinates; Ear cartilage
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