Facial plast Surg 2014; 30(03): 300-305
DOI: 10.1055/s-0034-1376875
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Update on the Septal Pivot Flap

Joachim Quetz
1  Department of Otorhinolaryngology, Head and Neck Surgery, Christian-Albrechts-Universität zu Kiel, Kiel, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
11 June 2014 (online)


The septal pivot flap has been an integral part of my concept for total and subtotal nasal repair. Since 2004, I have performed 15 reconstructions, in 9 cases combined with a pivot flap. The three-stage procedure starts with reconstruction of the septum by lifting the flap if available and needed. In the nine patients, all flaps could be rotated smoothly and without necrosis, contributing a minor or even major portion of nasal lining in every case. The neoseptum provided a strong static support, thus preparing the ground for significantly good projection, protection, and definition of profile and tip. This article illustrates the basic technique step by step and presents four typical cases.