How I Do It: Nasoseptal Flap for Reconstruction of Isolated Soft Palate Defect.
Publication/Presentation Date
9-5-2026
Abstract
A vascularized nasoseptal flap (NSF) provides a novel transnasal option for repairing soft palatal fistulas when traditional transoral flaps have failed or are unavailable, potentially avoiding the morbidity of regional or free tissue transfer. In the current patient who had an 8 × 6 mm soft palatal fistula, the NSF was harvested from the septum and nasal floor, rotated through the nasopharynx to cover the fistula, and was suture-fixated transorally to the mobile soft palate to promote stable adherence and healing. Closure was successful, which resolved her nasal regurgitation, partially improved her velopharyngeal function, and did not cause Eustachian tube dysfunction.
ISSN
1531-4995
Published In/Presented At
Desiato, V. M., Dunn, R. T., Dang, R. R., & Craig, J. R. (2026). How I Do It: Nasoseptal Flap for Reconstruction of Isolated Soft Palate Defect. The Laryngoscope, 10.1002/lary.70896. Advance online publication. https://doi.org/10.1002/lary.70896
Disciplines
Medicine and Health Sciences
PubMedID
42700141
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article