Septal perforation surgeons in the United States

Cost

US insurers may cover repair; from abroad, everything is self-paid, and prices are the highest: patients report €26,000 to 36,000 for the operation, before travel and accommodation.

Length of stay

Splints stay in for several weeks depending on the team: ask how long to stay nearby, and whether follow-up can be done remotely or with an ENT near home.

Published results

The Mayo Clinic series (Dr Bansberg) includes 392 patients and 94.8% closure across all sizes, with bilateral advancement flaps and an interposition graft.

Mayo Clinic Arizona · Scottsdale

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.

Published results: 94.8% in 392 patients

Private practice · ENT and Allergy Associates of Florida · St. Petersburg (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.

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.

Published results: 93.6% closure in a 31-year series with concomitant septorhinoplasty, of which he is a co-author

Private practice · Houston Methodist

No publications · Open approach

Flaps and interposition grafting, open approach.

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).

Published results: 55 of 56 closed (1 persistent perforation)

Vanderbilt University Medical Center · Nashville

Publishes · Closed approach · Perfoplasty

PDS plate + temporoparietal fascia without mucosal reapproximation; codified perfoplasty (2021); multicentre group with Iowa.

Published results: 90% closure; symptom control in 18 of 20 perfoplasty patients

Mayo Clinic Rochester

Rhinoplasty

Rhinoplasty and septal surgery; dedicated perforation activity not documented by a series.

Henry Ford Health · Detroit

Panellist · Publishes

Panellist of the 2026 international consensus; senior author of a systematic review of the anterior ethmoidal artery flap (Laryngoscope 2026).

Osborne Head & Neck Institute · Los Angeles

Dedicated practice

Private practice dedicated to perforations, with a patient-facing website. Self-reported figures, no published series.