Work

How I Do It: Nasoseptal Flap for Reconstruction of Isolated Soft Palate Defect

Year: 2026

Type: article

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.

Source: The Laryngoscope

DOI: 10.1002/lary.70896

Authors: Vincent M. Desiato, Raven T. Dunn, Rushil R. Dang, John R. Craig

Institutions: Henry Ford Health, Henry Ford Hospital, Lehigh Valley Health Network, Michigan State University

Language: English

Topic: Reconstructive Facial Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,840