PURPOSE: This article demonstrates technique and

results of a 3-layer repair of nasoseptal defects us-ing bilateral bipedicled advancement flaps and an autogenous cartilage graft. METHOD: After an extensive bilateral elevation of the mucosa from the entire septum, the nasal dome and the nasal floor bipedicled advancement flaps are created. The mucosal defects are sutured and an autogenous cartilage graft is interposed be-tween the sutured mucosal flaps. RESULTS: Until now this technique has been applied in 403 patients. The success rate (complete closure) was 92.5%. Thirty-four patients redeveloped de-fects; 28 were <5 mm and did not cause com-plaints. CONCLUSION: Results show that the describe