Repair of postoperative and recurrent nasal septal perforations using L-strut overlay flap

Background Despite the many described techniques, surgical repair of iatrogenic nasal septal perforations is still challenging. The authors present a novel technique for endoscopic closure of postoperative and recurrent nasal septal perforations. Method The technique is based on the elevation of a vascularized flap from the L-strut area and the creation of the bed site without dissection of the surrounding septum. Seven patients were operated using “L-strut overlay” flap from June 2018 to October 2020. All patients had their perforations closed 12 months after surgery. Conclusion Early results of our surgical technique have proven its simplicity and high effectiveness.