{"id":1367,"date":"2025-09-04T13:16:29","date_gmt":"2025-09-04T10:16:29","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1367"},"modified":"2025-09-04T13:16:29","modified_gmt":"2025-09-04T10:16:29","slug":"rare-but-effective-techniques-i-use-in-septum-perforations","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/","title":{"rendered":"Rare But Effective Techniques I Use in Septum Perforations"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130ndex<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Rare_But_Effective_Techniques_I_Use_in_Septum_Perforations\" >Rare But Effective Techniques I Use in Septum Perforations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Using_Lip_Mucosa_Flap\" >Using Lip Mucosa Flap<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Advantages\" >Advantages<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Disadvantages\" >Disadvantages<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Using_Inferior_Turbinate_Mucosa_Flap\" >Using Inferior Turbinate Mucosa Flap<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Advantages-2\" >Advantages<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Disadvantages-2\" >Disadvantages<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.gedizserin.com\/en\/rare-but-effective-techniques-i-use-in-septum-perforations\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Rare_But_Effective_Techniques_I_Use_in_Septum_Perforations\"><\/span><strong>Rare But Effective Techniques I Use in Septum Perforations<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Prof. Dr. Gediz Murat Serin<\/strong><br \/>\nSeptum perforation (septal perforation), which is the formation of a hole in the nasal septum, can cause serious complaints for patients both functionally and aesthetically. Whistling sound during breathing, nosebleeds, dryness, crusting, and smell disorders are among the primary symptoms. Although many surgical methods have been described for closing perforations, there are also techniques that we rarely use in some special cases but yield quite effective results.<br \/>\nIn this article, I would like to share two special techniques that I apply to a <strong>limited patient group in my practice but have a high success rate<\/strong>:<\/p>\n<ul>\n<li>Lip mucosa flap<\/li>\n<li>Inferior turbinate mucosa flap<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Using_Lip_Mucosa_Flap\"><\/span><strong>Using Lip Mucosa Flap<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is a method I prefer especially for <strong>anteriorly located, small-sized perforations that are due to previous surgery<\/strong>. A flap prepared from the mucosa on the inner surface of the upper lip is slid to the perforation area inside the nose to close the hole.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Advantages\"><\/span><strong>Advantages<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Lip mucosa is a flexible tissue with <strong>good vascularization<\/strong>.<\/li>\n<li>It <strong>easily reaches<\/strong> perforations close to the anterior region and provides strong coverage.<\/li>\n<li>It does not leave a visible scar and does not bother the patient aesthetically.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Disadvantages\"><\/span><strong>Disadvantages<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>It is not sufficient alone for large perforations.<\/li>\n<li>There may be temporary sensitivity and tension in the lip.<\/li>\n<li>Most of the time, I add <strong>fascia or cartilage graft<\/strong> underneath to increase success.<\/li>\n<\/ul>\n<p>For this reason, I use lip mucosa flap mostly in <strong>small and anterior perforations<\/strong>. Nevertheless, when the right patient is selected, the results are quite satisfactory.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Using_Inferior_Turbinate_Mucosa_Flap\"><\/span><strong>Using Inferior Turbinate Mucosa Flap<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The turbinate tissues located inside the nose constitute an important source due to both their anatomical proximity and the durability of their mucosa. Turbinate mucosa flaps are quite functional, especially in <strong>perforations located in the middle-posterior region<\/strong>.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Advantages-2\"><\/span><strong>Advantages<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Since it is taken from inside the nose, <strong>no extra incision is required<\/strong>.<\/li>\n<li>Turbinate mucosa is already a tissue compatible with the nasal environment.<\/li>\n<li>It can be easily rotated to the perforation area and has a high chance of attachment.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Disadvantages-2\"><\/span><strong>Disadvantages<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>If the turbinates have been reduced or previously operated on, this limits usability.<\/li>\n<li>It may not be sufficient alone for very large perforations.<\/li>\n<\/ul>\n<p>In my practice, if the structure of the turbinates is suitable, I rarely prefer this method. Most of the time, I combine it with <strong>cartilage or fascia grafts<\/strong> to support the flap.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span><strong>Conclusion<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Each patient&#8217;s septum perforation is unique. <strong>The location and size of the perforation, the condition of intranasal tissues, and the surgeries the patient has previously undergone<\/strong> are determinants in technique selection. Although lip mucosa flap and inferior turbinate mucosa flap are methods I do not frequently resort to, they provide <strong>effective and permanent results<\/strong> with the right indication.<br \/>\nMy approach is always to choose the most suitable and reliable method for the patient. Therefore, I successfully apply these two techniques in rare but selected cases.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rare But Effective Techniques I Use in Septum Perforations Prof. Dr. Gediz Murat Serin Septum perforation (septal perforation), which is the formation of a hole in the nasal septum, can cause serious complaints for patients both functionally and aesthetically. Whistling sound during breathing, nosebleeds, dryness, crusting, and smell disorders are among the primary symptoms. Although [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1368,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1367","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1367","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/comments?post=1367"}],"version-history":[{"count":1,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1367\/revisions"}],"predecessor-version":[{"id":1369,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1367\/revisions\/1369"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1368"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}