{"id":1420,"date":"2025-10-20T11:30:05","date_gmt":"2025-10-20T08:30:05","guid":{"rendered":"https:\/\/www.gedizserin.com\/en\/?p=1420"},"modified":"2025-10-21T12:41:30","modified_gmt":"2025-10-21T09:41:30","slug":"septal-perforation-surgery-closure-success-risks-and-innovative-approaches","status":"publish","type":"post","link":"https:\/\/www.gedizserin.com\/en\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/","title":{"rendered":"Septal Perforation Surgery: Closure Success, Risks and Innovative Approaches"},"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\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#Septal_Perforation_Surgery_Closure_Success_Risks_and_Innovative_Approaches\" >Septal Perforation Surgery: Closure Success, Risks and Innovative Approaches<\/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\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#What_Does_Closure_Success_Depend_On\" >What Does Closure Success Depend On?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.gedizserin.com\/en\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#Surgical_Techniques_From_Classical_to_Innovative\" >Surgical Techniques: From Classical to Innovative<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.gedizserin.com\/en\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#Risks_and_Healing_Process\" >Risks and Healing Process<\/a><\/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\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#Personalized_Surgical_Planning\" >Personalized Surgical Planning<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.gedizserin.com\/en\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#Conclusion\" >Conclusion<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.gedizserin.com\/en\/septal-perforation-surgery-closure-success-risks-and-innovative-approaches\/#E-E-A-T_Experience_Expertise_Authority_Trustworthiness_Compliant_Author_Information\" >E-E-A-T (Experience, Expertise, Authority, Trustworthiness) Compliant Author Information<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Septal_Perforation_Surgery_Closure_Success_Risks_and_Innovative_Approaches\"><\/span>Septal Perforation Surgery: Closure Success, Risks and Innovative Approaches<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong>Personalized Surgical Approach in Septal Perforation Treatment \u2013 Prof. Dr. Gediz Murat Serin<\/strong><\/p>\n<p>Septal perforation, that is, a hole in the nasal septum, can both make breathing difficult and cause dryness, crusting, bleeding and sometimes pain inside the nose.<br \/>\nWhen infection develops at the edges of the perforation, severe burning and pain sensations can occur. In the long term, nasal support decreases and collapse (deformity) may be seen in the nasal dorsum and tip.<br \/>\nThese conditions cause not only aesthetic but also serious functional problems. Today, personalized surgical planning and innovative repair techniques have replaced classical methods.<br \/>\nProf. Dr. Gediz Murat Serin explains the factors determining success in perforation repair, risks and modern surgical approaches in a way that patients can understand in this article.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Does_Closure_Success_Depend_On\"><\/span>What Does Closure Success Depend On?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main goal of surgery is complete closure of the hole inside the nose and healthy reformation of the mucosa (nasal lining).<br \/>\nThe success rate is directly related to the size and location of the perforation, the surgeon&#8217;s experience and the technique applied.<br \/>\nSeptal perforation surgery is one of the most specialized and difficult areas of ENT specialty.<br \/>\nMany physicians mention this topic on their websites; however, the number of surgeons who actually perform this operation is quite limited both in Turkey and worldwide.<br \/>\nTherefore, this operation is considered difficult. However, in the hands of experienced surgeons, the success rate is high.<br \/>\nProf. Dr. Gediz Murat Serin achieves a high rate of closure even in large perforations thanks to advanced flap techniques and multi-layered combinations developed through years of experience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Surgical_Techniques_From_Classical_to_Innovative\"><\/span>Surgical Techniques: From Classical to Innovative<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Septal perforation repair is not just a hole-closing operation. The goal is to ensure that the tissues inside the nose are re-covered with viable and natural mucosa.<br \/>\nTherefore, flap (mucosal) techniques are used in every case\u2014regardless of whether small or large.<br \/>\nFlaps prepared from inside the nose close the perforation edges with mucosa containing living tissue.<br \/>\nSometimes ear or rib cartilage, sometimes fascia (membrane tissue) is used as support.<br \/>\nThese grafts serve as a &#8220;carrier base&#8221; under the flaps and support the nutrition of the mucosa.<br \/>\nThe real success is achieved when normal nasal mucosa regrows over these tissues.<br \/>\nIf the mucosa does not heal, the placed tissues cannot be nourished over time and may dissolve.<br \/>\nTherefore, the long-term durability of the surgery depends on the correct application of the flap and graft combination.<br \/>\nIn other words, the goal is not just to &#8220;close the hole&#8221; but to regain the natural mucosal covering.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Risks_and_Healing_Process\"><\/span>Risks and Healing Process<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As with any surgical intervention, there are some risks in septal perforation repair:<br \/>\n&#8211; Lack of flap nutrition,<br \/>\n&#8211; Infection,<br \/>\n&#8211; Re-opening of the perforation,<br \/>\n&#8211; Slight changes in nasal shape.<br \/>\nThese risks are quite low with meticulous surgical planning and regular post-operative care.<br \/>\nKeeping the inside of the nose moist during the healing period, regular saline irrigation, avoiding smoking and alcohol consumption directly accelerates healing.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Personalized_Surgical_Planning\"><\/span>Personalized Surgical Planning<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Every patient&#8217;s nasal structure, mucosal thickness and past surgical history are different.<br \/>\nProf. Dr. Gediz Murat Serin creates a personalized repair plan by evaluating these factors in detail.<br \/>\nWhen necessary, three-layer repair (mucosa + graft + mucosa) is applied.<br \/>\nWith this method, both nasal airflow is preserved and the perforation is permanently closed.<br \/>\nAs a result, both functional and aesthetic natural and long-term healing is achieved in every patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Septal perforation surgery is a specialized area that requires attention, experience and patience.<br \/>\nWith modern techniques, correct patient selection and personalized surgical planning, this condition can now be treated with high success rates.<br \/>\nProf. Dr. Gediz Murat Serin focuses on producing nasal function-preserving, natural-looking and permanent solutions in every case.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"E-E-A-T_Experience_Expertise_Authority_Trustworthiness_Compliant_Author_Information\"><\/span>E-E-A-T (Experience, Expertise, Authority, Trustworthiness) Compliant Author Information<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Author: Prof. Dr. Gediz Murat Serin<br \/>\nArea of Expertise: Ear Nose and Throat, Rhinology, Septal Perforation Surgery<br \/>\nClinic: Te\u015fvikiye ENT Group \u2013 Istanbul<br \/>\nContact: www.gedizserin.com | Instagram: @tesvikiyekbb<\/p>\n<p>This content is for informational purposes; doctor examination is required for diagnosis and treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Septal Perforation Surgery: Closure Success, Risks and Innovative Approaches Personalized Surgical Approach in Septal Perforation Treatment \u2013 Prof. Dr. Gediz Murat Serin Septal perforation, that is, a hole in the nasal septum, can both make breathing difficult and cause dryness, crusting, bleeding and sometimes pain inside the nose. When infection develops at the edges of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1420","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\/1420","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=1420"}],"version-history":[{"count":2,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1420\/revisions"}],"predecessor-version":[{"id":1423,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/posts\/1420\/revisions\/1423"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media\/1421"}],"wp:attachment":[{"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/media?parent=1420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/categories?post=1420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gedizserin.com\/en\/wp-json\/wp\/v2\/tags?post=1420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}