Buccal Sulcus Approach to Septal Perforation Repair.

Abstract

The treatment of septal perforations is a challenging endeavor. The recurrence rate ranges from 30% to 70%. Operative correction often requires wide dissection, local flaps, and septal spacers. The pediatric population poses an even greater challenge given the limited size for visualization and less tissue available to transfer. The most common and successful methods involve endoscopic and open rhinoplasty techniques. The authors present a midfacial degloving approach via a transoral, gingivobuccal approach that does not require an endonasal component or external incisions.