Diagnosis and management of nasal septal perforation
09-10, 09:45–10:00 (Europe/Istanbul), Facial Plastic 4

Nasal septal perforation is most commonly iatrogenic, typically resulting from septal surgery. Clinical symptoms vary depending on the size and location of the perforation and may include nasal obstruction, discomfort, and epistaxis, although various nasal disorders can also contribute to these complaints. Because the septal perforation closure procedure is highly challenging, appropriate patient selection is essential. We perform the septal patch test in patients with symptomatic perforations to determine surgical indication. As revision septal perforation closure procedures are extremely challenging, we believe that achieving high closure rates requires employing large mucosal flaps, such as advancement flaps, at the initial operation.


For accurate surgical indication determination in septal perforation closure procedures

Dr. Yu Hosokawa is an otolaryngologist specializing in rhinology, with a particular focus on nasal reconstruction. His clinical expertise includes the treatment of external nasal deformities, septal deviation, septal perforation, and empty nose syndrome. In addition to his surgical practice, he conducts research using advanced imaging and computational analysis to investigate nasal morphology and airflow, aiming to establish objective metrics for functional nasal evaluation.

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