Septal perforations can cause very bothersome symptoms to the patient, such as crusting, nasal dryness and epistaxis. It is common in these patients to have a history of previous nasal surgery. Surgical closure is neccesary when symptomatic medical treatment fails.We report the case of two patients undergoing an open procedure, in wich we interpose auricular conchal cartilage between the two mucosal flaps. Results are optimal in both patients in the successive revisions after surgery, symptoms have decrease considerably and there has been no recurrent perforation. We, therefore, believe that it´s an effective technique with very few complications.

RESUMEN