Septal perforation specialist surgeons
World map and directory, by country, of the teams that publish and actually close perforations.
A factual, neutral list built from indexed publications and the Expertscape ranking (243 articles since 2013); no practitioner has paid to be listed. “Confirmed” means the perforation work is corroborated by consistent patient reports or by publications; “to confirm” means we are still waiting for those reports, or for a publication. Considering surgery in another European country? See the S2 route and other practical matters.
Written by the Septal Perforation team, patients, from the sources cited · Reviewed by doctors · Updated 1 November 2026 · Method and sources
Click a dot or a country to filter the list. Red: high-volume centres or major published series.
Tick “Compare” on two or three cards to see them side by side.
Barcelona
Confirmed
Prof. Isam Alobid
Hospital Clínic, Universitat de Barcelona
High volume
Endoscopic
Large and total
Extended AEA flap, pericranial flap, palatal flap. No. 1 on Expertscape; lead author of the 2026 international consensus.
Technique page : Anterior ethmoidal artery flap ›
Published: 91.2% (pericranial, total perforations)
Madrid
Confirmed
Dr Alfonso Santamaría-Gadea
Hospital Ramón y Cajal
Publishes
Endoscopic
> 2 cm
Extended AEA flap (Laryngoscope 2022), nasal floor and inferior meatus flap (Rhinology 2018), 2026 repair algorithm. One surgeon, who moved from Barcelona to Madrid.
Technique page : Anterior ethmoidal artery flap ›
Madrid
Confirmed
Dr Franklin Mariño-Sánchez
Hospital Ramón y Cajal
Publishes
Endoscopic
Greater palatine artery pedicled flap (Facial Plast Surg Aesthet Med 2020).
Technique page : Floor and turbinate flaps ›
Pamplona
Confirmed
Dr Octavio Garaycochea
Clínica Universidad de Navarra
Publishes
Endoscopic
Rhinology and skull base. Review “State-of-the-art: septal perforation repair”, AEA flap design study (2024), classification of septal areas; imaging chapter of the 2026 textbook.
Technique page : Anterior ethmoidal artery flap ›
Barcelona
Confirmed
Dr José María Guilemany
Clínica Tufet · Centro Médico Teknon
Publishes
With septorhinoplasty
Rhinoplasty and revision rhinoplasty, with perforation repair in the same operation; co-author of the “rhinoplasty and septal perforation” chapter of the 2026 textbook. Consultant at Hospital Clínic.
Barcelona
Confirmed
Pr Juan R. Gras-Cabrerizo
Hospital de la Santa Creu i Sant Pau
Publishes
Endoscopic
Anatomical studies of septal flaps (Castelnuovo's AEA flap, sphenopalatine artery flaps); vascular anatomy chapter of the 2026 textbook. Few clinical cases published.
Technique page : Anterior ethmoidal artery flap ›
Seville
Confirmed
Dr Ramón Moreno-Luna
Hospital Universitario Virgen Macarena
Publishes
Endoscopic
Large
Posterior septal advancement for large perforations without framework; extended free nasal floor mucosal graft; co-author of the 2026 repair algorithm.
Technique page : Floor and turbinate flaps ›
Palma · Murcia
To confirm
Dr Eduardo Morera Serna and Dr Luis Ferrán de la Cierva
Hospital Universitari Son Espases (Palma); Murcia
Publishes
Endoscopic
> 2 cm
Bilateral nasoseptal (Hadad-Bassagasteguy) flaps for large perforations (Eur Arch Otorhinolaryngol 2017); chapter of the 2026 textbook. Dr Ferrán de la Cierva's current hospital to be confirmed.
Published: 75% above 2 cm (small series, 2026 textbook)
Varese
Confirmed
Prof. Paolo Castelnuovo
Ospedale di Circolo, Università dell'Insubria
High volume
Endoscopic
≤ 2.5 cm
AEA flap; co-author of the reference textbook (Thieme 2017).
Technique page : Anterior ethmoidal artery flap ›
Published: 81% overall, series ≤ 25 mm, 51-month follow-up
Ulm
Confirmed
Prof. J. Lindemann, Prof. T. K. Hoffmann (head of department), Dr M.-O. Scheithauer, Dr F. Sommer
Universitätsklinikum Ulm
High volume
Open or closed
Large
Team
Bridge flap; reference school on realistic long-term rates.
Technique page : Bridge flap ›
Published: 72% durable at ~5.5 years (200 patients)
Neuss
Confirmed
Dr Armin Neumann
Lukaskrankenhaus, Neuss
Publishes
Large
Three-layer Schultz-Coulon bridge flap: Neumann, Morales-Minovi and Schultz-Coulon, Acta Otorrinolaringol Esp 2011, 92 patients. Harvests from the inferior meatus.
Technique page : Bridge flap ›
Published: 93.8% at 18 months (60 of 64 patients reviewed)
Neuss · Düsseldorf · Krefeld
Confirmed
Dr Thoralf Stange
HNO-Zentrum Neuss · Schön Klinik Düsseldorf · Helios Krefeld
Dedicated practice
Large
Extended endonasal bridge flap, a practice dedicated to perforations since 2001; technical publications with Schultz-Coulon (2009) and the German closure survey (2010). His stated figures (1,200 cases, 90%) are self-reported and unpublished.
Technique page : Bridge flap ›
Zurich
Confirmed
Prof. M. Soyka and Prof. D. Holzmann
Universitätsspital Zürich, same department
Publishes
Closed approach
Team
PDS plate wrapped in temporoparietal fascia, placed through a hemitransfixion incision, with no mucosal suture.
Technique page : Temporoparietal fascia and PDS ›
Published: 14/14 by the closed route; 18/20 in the published series
Basel
Clinical trial
Prof. M. Haug and Dr I. Fulco
Universitätsspital Basel
Clinical trial
≤ 2 cm
Team
Autologous tissue-engineered cartilage (N-TEC), phase I trial NCT04633928 (Kaiser et al., Int J Surg 2024): 5 patients, perforations of 0.5 to 2 cm. Experimental: feasibility shown, efficacy not established.
Technique page : Regenerative techniques ›
Doncaster · Manchester
Confirmed
Prof. Ullas Raghavan
Doncaster and Bassetlaw NHS Trust (2005 to 2017 series) · Pall Mall Medical privately
High volume
Endonasal
All sizes
Bilateral flaps + interposed porcine collagen graft: Heywood, Raghavan et al., J Laryngol Otol 2025, 154 patients. The series was done in Doncaster. He also operates privately with his son, Mr Gautham Ullas.
Technique page : Bilateral advancement flaps ›
Published: 95% closure and 90% symptom control (154 patients)
Manchester · Liverpool
To confirm
Mr Gautham Ullas
Ullas Facial Plastic Surgery · Pall Mall Medical (private)
Son and partner of Prof. Ullas Raghavan, dual-trained in ENT and facial plastic surgery. Learned perforation closure during an international fellowship; can rebuild the septum and correct the external nose in the same operation.
Edinburgh · Glasgow
To confirm
Mr R. Gohil
NHS Lothian · Spire Shawfair Park
Patient report
Rhinologist; septal perforation closure is among his stated interests. Positive 2-year patient report in the community.
Utrecht
To confirm
Dr D. J. Menger
UMC Utrecht
Septal repairs; patient reports in the community.
Amsterdam · Bussum
To confirm
Dr Callum Faris
FACE Institute and Faris Medical Center (private); also UZ Antwerp, Belgium
ENT and facial plastic surgeon specialising in nasal reconstruction. Open approach, advancement flaps on both sides and an ear-cartilage graft. He founded his clinic with Dr Hade Vuyk, whose team published 93% closure in 43 patients (André, Lohuis and Vuyk, 2006).
Technique page : Bilateral advancement flaps ›
Porto
To confirm
Dr Rui Xavier
Porto
Closure using remaining septal cartilage; Portuguese series including perforations up to 4.5 cm. Positive 2-year patient report in the group.
Munich
Confirmed
Prof. Frank Haubner
LMU Klinikum · HNO im Tal
Publishes
Sandwich grafts for perforation closure: Bertlich et al., Facial Plast Surg 2022, senior author.
Hamburg
Confirmed
Dr Johannes Bier
Universitätsklinikum Hamburg-Eppendorf
Publishes
The “fascia taco” technique: Bier, Klingner, Stadlhofer, Betz and Böttcher, Laryngoscope Investig Otolaryngol 2024.
Published: 82.1% single-stage success
Saarbrücken
To confirm
Prof. Klaus Bumm
Saarbrücken
Dedicated practice
Reconstructive nasal surgery and septal perforation closure. No published series found to date.
London
Consensus expert
Prof. C. Hopkins
Guy's and St Thomas'
Panellist
Leading UK rhinologist; senior author of the 2026 international consensus.
Istanbul
Confirmed
Prof. Deniz Hancı
Prof. Dr Cemil Taşçıoğlu City Hospital
High volume
Open approach
> 2 cm
Fascia lata ± costal cartilage sandwich, open approach. Six indexed publications in ten years; panellist of the 2026 consensus.
Technique page : Fascia lata ›
Published: 92% in 25 patients > 2 cm at 12 months; 30/30 at 6 months (2026)
Istanbul
To confirm
Dr M. Enöz
Private practice
Open approach
Large
Open approach, septal cartilage or bone or rib graft + temporalis fascia, splints 2 to 3 months. Many patient reports in English-speaking groups.
Technique page : Fascia lata ›
Istanbul
Confirmed
Dr Gediz Murat Serin
Acıbadem Maslak · Nişantaşı office
Publishes
Endoscopic
Endoscopic fascia lata repair: Ozdilek, Kilavuz and Serin, J Craniofac Surg 2020, senior author; 17 patients, perforations averaging 18.5 × 11.5 mm.
Technique page : Fascia lata ›
Published: 15 of 17 closed (88.2%), 14.5-month follow-up
Istanbul
Confirmed
Dr Ümit Taşkın
Istanbul
Publishes
Revisions ≥ 2 cm
Revision surgery for perforations of 20 mm and above after failure.
Technique page : Fascia lata ›
Ankara
To confirm
Dr M. Derya Yılmaz
Ankara
Publishes
Turkish work on perforation closure; dedicated activity not verified.
Kastamonu
Confirmed
Dr Murat Yaşar
Kastamonu
Publishes
Iatrogenic
Temporoparietal fascia + polycaprolactone sheets: Yaşar, Aesthetic Plast Surg 2025.
Izmir
Consensus expert
Prof. S. Göde
Ege University
Panellist
Panellist of the 2026 international consensus.
Scottsdale
Confirmed
Dr Stephen Bansberg
Mayo Clinic Arizona
High volume
Endonasal
All sizes
Bilateral flaps + temporalis fascia; upper lateral cartilage extension (spares the inferior meatus). Largest series worldwide. Patients report costs of $28 to 40k.
Technique page : Bilateral advancement flaps ›
Published: 94.8% in 392 patients
Phoenix (Arizona)
Confirmed
Dr Amar Miglani
Mayo Clinic Arizona
Publishes
Endonasal
Bilateral mucosal flaps with a temporalis fascia graft (Laryngoscope 2021); custom 3D-printed prosthesis (Laryngoscope 2026). Co-author of the septal button and perfoplasty chapters of the 2026 textbook.
Technique page : Bilateral advancement flaps ›
Published: 83/83 closed (temporalis fascia, series cited in the 2026 textbook)
St. Petersburg (Florida)
Confirmed
Dr Kevin J. Caceres
Private practice · ENT and Allergy Associates of Florida
No publications
AAFPRS facial plastic surgery fellowship under Dr Russell Kridel, in Houston. Double board certification (ENT, facial plastic surgery); former Clinical Instructor at UTHealth Houston. Septal perforation repair listed among his procedures, with no technique specified. No indexed publications, absent from the 2026 international consensus.
Houston
Confirmed
Dr Sean W. Delaney
Facial Plastic Surgery Associates · Houston Methodist
Publishes
Open approach
With septorhinoplasty
Co-author of his practice's landmark series on the subject: the 31-year series with simultaneous septorhinoplasty, Approach to Correction of Septal Perforation (Facial Plast Surg Clin North Am, 2019) and the community survey of real-world practice already cited in our sources. Double board certified (ENT, facial plastic surgery); partner in the practice since 2021.
Technique page : Bilateral advancement flaps ›
Published: 93.6% closure in a 31-year series with concomitant septorhinoplasty, of which he is a co-author
Houston
Confirmed
Dr F. Bressler
Private practice · Houston Methodist
No publications
Open approach
Flaps and interposition grafting, open approach.
Technique page : Bilateral advancement flaps ›
Cleveland
Confirmed
Dr B. Genther, Dr P. Ciolek and Dr D. Vos
Cleveland Clinic, same department
Publishes
No flaps
Team
Trilayer temporalis fascia + PDS plate graft, with no mucosal flaps: Vos et al., Otolaryngol Head Neck Surg 2025; initial series of 20 patients (2023).
Technique page : Temporoparietal fascia and PDS ›
Published: 55 of 56 closed (1 persistent perforation)
Nashville
Confirmed
Dr Scott Stephan
Vanderbilt University Medical Center
Publishes
Closed approach
Perfoplasty
PDS plate + temporoparietal fascia without mucosal reapproximation; codified perfoplasty (2021); multicentre group with Iowa.
Technique page : Temporoparietal fascia and PDS ›
Published: 90% closure; symptom control in 18 of 20 perfoplasty patients
Rochester
To confirm
Dr Grant Hamilton
Mayo Clinic Rochester
Rhinoplasty
Rhinoplasty and septal surgery; dedicated perforation activity not documented by a series.
Detroit
Confirmed
Dr John R. Craig
Henry Ford Health
Panellist
Publishes
Panellist of the 2026 international consensus; senior author of a systematic review of the anterior ethmoidal artery flap (Laryngoscope 2026).
Los Angeles
To confirm
Dr Jason Hamilton
Osborne Head & Neck Institute
Dedicated practice
Private practice dedicated to perforations, with a patient-facing website. Self-reported figures, no published series.
Sydney
Consensus expert
Prof. Richard Harvey
St Vincent's · Macquarie University
Panellist
Leading Australian rhinologist; senior author of the 2026 international consensus.
Adelaide
Consensus expert
Prof. Alkis Psaltis
The Queen Elizabeth Hospital
Panellist
Leading Australian rhinologist; panellist of the 2026 international consensus.
Seoul
Consensus expert
Prof. Y. J. Jang
Asan Medical Center
Panellist
Septal surgery and rhinoplasty; 2026 consensus panellist; Expertscape-ranked.
Moscow
Consensus expert
Prof. Y. Rusetsky
Central Clinical Hospital
Panellist
2026 consensus panellist; Expertscape-ranked.
Technique page : Anterior ethmoidal artery flap ›
“Publishes” is not a measure of skill. It is simply the only criterion we can verify from the outside. An excellent surgeon may never have published, and a publication does not guarantee a good outcome in your case. Use this list to prepare your questions, not to rank practitioners.
Are you a surgeon who regularly closes perforations? Write to us with your publications or annual volume: we add or correct any entry on evidence.
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