Mini‐Nasoseptal Flap for Recalcitrant Sphenoid Sinusitis

Objective To describe the use of a modified nasoseptal flap for select cases of chronic sphenoid sinusitis. Method Description and illustration of the surgical technique and indications for the modified nasoseptal flap for chronic sphenoid sinusitis. We report 3 cases of recurrent sphenoid fungal sinusitis treated with revision endoscopic sinusotomy and a mini‐nasoseptal flap. Results The mini‐nasoseptal flap was used successfully in all cases without evidence of restenosis in the follow‐up period. There were no complications related to flap harvest or inset. Conclusion Inflammatory sphenoid lesions such as fungal balls may increase the risk of postoperative ostial stenosis especially in cases when postoperative surveillance or debridement is difficult or impossible. The mini‐nasoseptal flap may expedite healing and decrease the risk of restenosis after sphenoid sinusotomy by avoiding cicatricial scarring.