Surgical technique for reconstruction of the nasal septum: The pericranial flap

Background We describe a new technique for the surgical reconstruction of large‐sized anterior septal perforations based on the pericranial flap. Methods The technique requires a standard open rhinoplasty combined with a pericranial flap harvested after a bicoronal approach and tunnelled to the nasal cavity. We present the case of a man with complete destruction of the nasal septum as a result of chronic cocaine abuse. Results Surgery resulted in a permanent and complete closure of the perforation. Conclusions The main advantage of this technique is the use of well‐vascularized autogenous tissue and the minimal donor site morbidity. This technique provides a new method to close large nasal perforations. © 2000 John Wiley & Sons, Inc. Head Neck 22: 90–94, 2000.