Endoscopic Repair of Septal Perforation Using a Double-Layer Fascia Lata Technique.

Cohort studyOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery· Jul 2026

Kutluhan Cevher, Ozlem Y Agayarov

SurgeryCohort studyTreatmentQ4IF 0.0

Endoscopic repair of septal perforations achieved high complete closure rates.

Kutluhan Cevher, Ozlem Y Agayarov

Otolaryngology--head and neck surgery · Jul 2026 · Q4 in Surgery

Background

Septal perforation repair remains technically challenging, particularly in defects requiring stable graft support for closure.

Results

of patients had their nose septum holes fully healed after repair

24patien

Complete closure

2patien

Partial closure

More results

We describe an endoscopic double-layer fascia lata technique and report surgical outcomes in a consecutive case series.

A fascia lata graft harvested from the thigh was folded to create a double-layer construct and secured with an absorbable suture.

More results

The graft was placed beneath the elevated mucoperichondrial flap and stabilized with bilateral splints for approximately 3 weeks.

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Conclusion

No perioperative or postoperative complications were observed.