목적: Nasal septal perforation is a complex surgical pathology. Limited tensility of the nasal mucosa and insufficient quantity of connective tissue hamper the repair of the nasal septal wholeness. Usually mucosa around the perforation has inadequate blood supply what significantly worsens tissue regeneration and therefore decreases rate of successfully closed perforations. 방법:Nine patients underwent surgical treatment of the nasal septal perforations. Inclusion criteria was 1) small diameter of the perforation ( up to 0.5 cm), 2) medium diameter of the perforation ( from 0.5 to 2 cm) and 3) presence of the cartilage around the edges of perforation.We used new technique for closing of the septal perforations in which cartilage cuff was preserved around the perforations' edges. That created favourable conditions for approximation of the perforations' edges and served as the support for the new tissue. 결과:Full repair of septal wholeness was in 6 cases, decrease of perforation size and retrodisplacement was in 2 cases and in 1 case position and size remained same. 결론:Newly proposed technique of septal perforations closure allows to improve results of surgical repair of the nasal septal wholeness and can be used in cases when cartilage around perforation is preserved.