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#NasalSeptumPerforation #SeptalPerforationRepair #NasalPerforationClosure #SeptorhinoplastyComplication #BeforeAfterRhinoplasty #Septoplasty #NoseSurgery #SeptalRepair #nasalseptalhole #CartilageGraft #TemporalisFasciaGraft #septumperforasyonu #septumperforasyonuameliyati #ENTSurgery #NoseReconstruction #PerforationSurgery https://www.ent-istanbul.com/2018/04/... In this video, we present the “Nasal Septum Perforation Repair Before and After 3 Months” case of a patient who came to our clinic with a nasal septal perforation that developed after a septorhinoplasty performed at another center. The patient complained of nasal dryness, crusting, whistling during breathing, and nasal obstruction. Upon detailed nasal endoscopic examination, we detected a 0.6 cm diameter perforation located in the anterior part of the nasal septum, surrounded by dry and crusty mucosa, as well as a deviated septum and a bony spur formation on the posterior side of the septum. These findings indicated not only structural damage but also mucosal compromise due to the previous surgery. The patient underwent open-technique nasal septum perforation repair using temporalis fascia and cartilage grafts. The temporalis fascia, harvested from the temporal region, provides a strong and biologically compatible layer that promotes mucosal regeneration. The cartilage grafts were placed to support the septum structurally and to maintain the integrity of the nasal framework. This combination technique helps to restore the mucosal lining, close the perforation permanently, and prevent recurrence. Simultaneously, septoplasty was performed to correct the septal deviation, and the bony spur was carefully removed to improve nasal airflow and reduce mucosal irritation. Internal silicone splints were placed to stabilize the septum and grafts during the healing process, ensuring adequate support for tissue integration. After 3 months, the patient returned for follow-up. Upon removal of the splints and detailed endoscopic evaluation, complete closure of the septal perforation was observed. The mucosa had healed smoothly, with no signs of crusting, whistling, or residual deviation. The previously noted bony spur area had also completely resolved. Functionally, the patient reported significant improvement in nasal breathing, elimination of whistling sounds, and relief from nasal dryness. This case demonstrates the importance of meticulous surgical planning and proper graft selection in the treatment of septal perforations. Open technique repair offers a clear surgical field, allowing precise placement of grafts and secure closure of even complex perforations. In cases where the perforation results from previous nasal surgery, the surrounding tissues are often fragile, making the use of vascularized fascia and cartilage support essential for long-term success. Septal perforation repair remains one of the most challenging areas in nasal surgery, requiring both functional and aesthetic considerations. The goal is not only to close the perforation but also to restore the nasal airflow dynamics and mucosal health. In this video, you can observe the before and after results of the operation, showing complete closure at the 3rd month, improved nasal structure, and functional recovery. If you are experiencing similar symptoms such as nasal crusting, whistling, bleeding, or breathing difficulties after septoplasty or rhinoplasty, a detailed endoscopic evaluation and properly planned repair surgery can significantly improve your quality of life. Nazal Septum Perforasyonu Onarımı Öncesi ve 3 Ay Sonrası Başka bir klinikte yapılan septorinoplasti operasyonu sonrasında nazal septum perforasyonu ortaya çıkan hasta kliniğimize başvurdu. Hastanın yapılan muayenesi sonucunda nazal septumda . cm çapında, kenarları kuru ve kabuklu mukoza ile çevrili perforasyon, septumun arka tarafında nazal septum deviasyonu ve kemik spur formasyonu saptandı. Hastaya temporal fasya ve kıkırdak greft ile açık teknik septal perforasyon kapatılması, septoplasti ve kemik spur removal işlemleri yapıldı. boyunca internal silikon splintler yerinde tutuldu ve bu sürenin sonunda splintler çıkarıldı, perforasyonun tamamen kapandığı, septum deviasyonunun düzeldiği, kemik spur alanının ortadan kalktığı görüldü.