fig2
From: Septal perforation
Figure 2. Endoscopic photos of left-side mucosal flap closure. (A) Perforation margin rimmed with #15 blade; (B) Bilateral mucosal flap elevation; (C) Superior incision may extend anteriorly through valve angle; (D) Superior flap advanced inferiorly; (E) Anterior cautery incision for inferior flap; (F) Elevation connecting incision over piriform aperture to previously elevated nasal floor mucosa; (G) Inferior flap incision made with scissors; (H) Flaps advanced to collapse perforation margin for tension-free suture closure; Flaps span (bridge) over the underlying defect’s cartilage margin.
