鼻中隔穿孔的处理非常棘手 ,修补常遭失败。过去曾采用鼻侧壁组织瓣、旋转粘膜瓣、推进粘膜瓣、唇龈沟粘膜瓣、游离复合组织瓣、颞肌膜等经外鼻成形术或面翻揭术途径进行修补 ,但仍常有失败。真皮具有良好韧性 ,可再生成为正常粘膜 ,但文献上尚无用皮片游离移植修补中隔穿孔者 Perforation of the nasal septum is tricky to handle, and repair often fails. In the past, nasal wall tissue flap, rotary mucosal flap, propulsion mucosal flap, lip gully mucosal flap, free composite tissue flap, temporal muscle membrane and so on were treated by external rhinoplasty or facial debridement repair, but still often failure. Dermis has good toughness, can be regenerated into a normal mucosa, but the literature is still useless skin graft free transplanting perforation