
TEMPORALIS FASCIA
RONALD O. FRANZKE, MD
Wadsworth VA Hospital Wilshire and Sawtelle Blvds Los Angeles
Arch Otolaryngol. 1970;91(5):493.
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To the Editor.—I recently read with great interest Leonidas Papangelou's article in the October issue of the ARCHIVES (90:528-530, 1969) on "Closure of the Nasal Septal Perforation." It has been our practice during the past several months to use a very similar technique, but instead of using an acrylic plate we have been using temporalis fascia. This has been allowed to dry thoroughly, as in a myringoplasty, and then inserted between the leaves of the nasal mucosa surrounding the perforation. It is most important to make sure that the entire circumference of the fascia is covered on both sides by the nasal mucosa. The fascia has been found firm enough to be held in place with the use of dental wax splints. The graft may also be sutured in place if desired. This procedure can be safely and comfortably done under local anesthesia. Undoubtedly the use of temporalis
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