개방성 외비 접근법을 이용한 거대 비중격 천공의 교정

Reconstruction of large septal perforation (>3.5 cm) has high failure rates. Although the successful reconstruction of large septal perforation is very difficult, but the combination techniques of external open approach, bipedicled advanced mucoperichondrial flap and acellular dermal graft using as interpositional grafts are very useful technique for large septal perforations. We report our experience with two cases of reconstruction of large septal perforation recently seen in our practice with a review of literature. (J Clinical Otolaryngol 2009;20:94-99)