Mega-Perforation: Pushing the Limits of Septal Perforation Repair


We have coined the term ‘Mega-perforation’ to refer to a septal perforation that approaches the limits of reparability. Typically perforations greater than 3.0-3.5cm and/or greater than 75% of the anterior septum size fall into this category.

The “watch and wait” approach to managing any septal perforations is typically the wrong approach because perforations increase in size as time passes.

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