ABSTRACT
Nasal septal perforation of various etiologies have been seen by most otolaryngologists. Those perforations which are asymptomatic or controlled by medical management do not required further attention. Surgical management is usually for the perforations that continue to cause whistling, crusting and bleeding. Patients with nasoseptal perforations were chosen from outpatient clinic of Zagazig University Hospitals. All were subjected to clinical examination and laboratory investigations followed by repair with conchal cartilage as a free graft and follow up for 3 months. Seven out of ten cases were successfully repaired with complete closure of perforation and relief of symptoms. Three cases were unsuccessful, in one case the perforation did not take the graft completely and in the other two cases, perforations were smaller than before. From the present study it is concluded that utilization of this procedure in appropriate cases of septal perforations less than 2 cm in diameter is very helpful in most of the cases