Russell W. H. Kridel, MD, FACS - Rhinoplasty Specialist
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In summary, septal perforation repair (nasal reconstructive surgery) is a very complex operation that takes a great deal of skill and many hours. Through years of trying many methods, Dr. Kridel has adopted a surgical approach that he has published and which is now quite well respected. Our results in smaller perforations have about a 90% success rate as opposed to the nationwide 50% rate. This procedure, however, is extremely extensive and complex and technically difficult.
Older methods of repairing this have used other materials such as skin grafts or grafts from inside the mouth that have been transferred up to this area. The problem with skin grafts or grafts from the mouth, or totally free grafts, is that these grafts do not fill the hole with the same kind of normal lining tissue of the nose. Skin grafts in the nose tend to shed and crust continuously. Free grafts sometimes fail and die in the nose leaving you with the original perforation or a worse problem. Grafts from inside the mouth are very drying and never feel normal. Additionally, these other techniques only have about a 50% success rate.
Through years of trying very many methods, we have adopted a method that we have published and which is now quite well respected. Our results in smaller perforations have about a 90% success rate as opposed to the nationwide 50% rate. This procedure, however, is extremely extensive and complex and technically difficult.
Our office will make every effort to help you with insurance reimbursement for this procedure. However, you must know that this is a special condition and a special operation, which your insurance carrier may or may not recognize. You are probably here because either you or your doctor has heard of our success rate with this operation and therefore you are expecting this more complex operation which we hope, but cannot promise, will work in your case. This website provides general information only and does not take the place of a visit to Dr. Kridel for review and examination of your special circumstances.