Long-Term Outcomes of Nasoseptal Perforation Repair Using Anterior Maxillary Sinus Wall as an Interpositional Graft

Jae Woong Hwang, Mun Soo Han, Sung Hoon Kang, Ji Won Kwak, Hyun Keun Kim, Tae Hoon Kim, Sang Hag Lee

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background: Various graft materials have been used to repair nasoseptal perforation, but there is no standardized treatment method. The anterior maxillary sinus wall is flattened in appearance and can be easily obtained in a sufficient amount for a large-sized nasoseptal perforation. Objectives: The aim of this study is to determine whether the anterior maxillary sinus wall is suitable as an interpositional graft in the surgical repair of septal or nasoseptal perforation. Methods: This is a retrospective review of 21 patients who underwent repair of nasoseptal perforation using anterior maxillary sinus wall as an interpositional graft. The etiology, pre- and post-operative NOSE and GBI score, and perforation size were reviewed. The surgical outcome was considered successful if total closure was achieved after postoperative follow-up. Results: 19 of the 21 perforations were successfully repaired with anterior maxillary sinus wall. Failure of the repair was found in 2 patients. Causal etiology of perforation was previous septoplasty in 10 patients, and electrocautery in 1 case, but not identified in 10 cases. The largest size was 2.7 × 2.2 cm. The most common symptoms were epistaxis, crusting, and nasal obstruction. Closure of septal perforation resulted in improved subjective symptoms and quality of life which were evaluated with NOSE and GBI score. Conclusion: Anterior maxillary sinus wall as interpositional graft between mucoperichondrial flaps can be used to reliably repair nasoseptal perforations.

Original languageEnglish
Pages (from-to)238-244
Number of pages7
JournalAmerican Journal of Rhinology and Allergy
Issue number2
Publication statusPublished - 2022 Mar


  • anterior maxillary sinus wall
  • interpositional graft
  • septal perforation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology


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