이주연골편이식과 하비도 측벽 피판을 사용한 거대한 비중격 천공 재건술

It is difficult to manage large nasal septal perforation and reperforation rate is high after repair it. The method for surgical closure has been introduced such as direct closure, cartilage autograft and temporalis fascia using intranasal or external approach. Recently, we experienced 2 cases of large septal perforations. We used tragal cartilage autograft and posteriorly based mucoperiosteal flap with unilateral direct suture under midfacial degloving approach. The healing time was faster. So we report our method with brief review of the literatures. (J Clinical Otolaryngol 2000;11:175-178)