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CLOSURE OF LARGE NASAL SEPTUM PERFORATIONS-Reply
DAVID N. F. FAIRBANKS, MD
National Institutes of Health Westwood Bldg 7a16 Bethesda, Md 20014
Arch Otolaryngol. 1970;91(5):493.
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To the Editor.—Dr. Wright's methods are indeed thought provoking, and his comments appreciated.
Undessicated periosteum would be quite as easily used, perhaps to some advantage. Dr. Wright's successes with grafts not covered by flaps are intriguing. The only reperforations in our series occurred when the graft was left uncovered in large opposing areas on both sides.
In his class at the October meetings of the AAOO, Dr. Norman E. Johnson (Syracuse) pointed out that polytef (Teflon) sheeting placed intranasally, adjacent to the repaired septum, is well tolerated for several weeks. This might obviate the drying-dessication of healing raw surfaces such as noncovered graft and denuded donor sites.
Thank you, Dr. Wright.
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