Septal Perforations: A to Z

Purpose of Review This article aims to provide a comprehensive review of nasal septal perforations from diagnosis and workup to surgical management options . Recent Findings Nasal septal perforations can present both diagnostic and management challenges for clinicians because of varied presentation and multiple options for repair. There is no standardized technique for repair, though traditional methods of mucosal flap coverage with or without interposition grafts are giving way to newer techniques of fascial interposition grafts that forgo pedicled mucosal coverage altogether. Summary Nasal septal perforations have varied etiologies, clinical presentations, and methods of management. Surgical repair of perforations can be challenging, and many techniques have been described without a standardized method of management.