[Plastic perforation of the nasal septum with a flap on the branches of the superior labial artery].

Abstract

An innovative method of endonasal closure of postoperative perforations of the nasal septum is presented, which is based on the use of a mucoperiosteal flap formed on the branches of the superior labial artery. Since 2023, the described technique has been used in 15 patients (average age 43 years). The duration of postoperative follow-up varies from 4 to 9 months. The assessment of the quality of life of patients before and after surgery was carried out using the SNOT-22 questionnaire. The average duration of the operation was 60 minutes. In 14 (93.3%) of the 15 patients, complete anatomical closure of the perforation was achieved. Complete healing of the donor area was noted 1 month after the operation. There were no postoperative complications (bleeding, infections). The average score for SNOT-22 decreased from 42.3±1.65 to 12.02±2.30 points 3-6 months after surgery (p<0.05), indicating a significant improvement in the quality of life of patients. The high efficiency of the proposed method is demonstrated. The technical accessibility and prospects for wide application in surgical practice are noted. Further studies in large groups of patients are needed to definitively determine the place of this method in surgery for closing nasal septum perforations.