목적: To evaluate the outcomes of nasal septal perforation repair, focusing on the surgical techniques, closure rates, symptom resolution, and complications. 방법:A retrospective analysis was performed on data collected from 44 patients (25 men and 19 women; mean age, 32.0 years) who underwent nasal septal perforation repair between 2017 and 2024 in Dr. Jin's premium nose clinic. The mean follow-up duration was 46.2 months (range: 6-94). Demographics, etiology, perforation size (longest diameter), symptoms, surgical techniques, follow-up durations, and success rates were analyzed. 결과:The perforations varied in size from 1 mm to 30 mm (15 small (<5 mm), 26 medium (5-20 mm), and 3 large (>20 mm), mean 8.4 mm). The symptoms reported by patients included nasal obstruction, epistaxis, whistling, and crusting in the order of appearance. Three patients had no symptoms. The causes of perforation were iatrogenic in 34 patients (77.3%), idiopathic in 9 (20.5%), and drug use (intranasal corticosteroids) in 1 (2.2%). For perforation repair, an open approach was used in 25 cases (56.8%) and the endonasal approach in 19 (43.2%). Bilateral septal mucosal closure was done in 26 cases (59.1%): bilateral advancement flaps in 19 cases, and a combination of an advancement flap and a rotational flap in 7 cases. Unilateral mucosal closure was done in 14 patients (31.8%): rotational flap in 7 cases and an advancement flap in 7. Four patients (9.1%) had an interposition graft only without mucosal closure. Materials for interposition grafts were rib cartilage and rib perichondrium in 11 patients (25%), septal cartilage in 10 (22.7%), and conchal cartilage in 10 (22.7%), followed by temporalis fascia, septal bone, and mastoid periosteum. Surgeries performed in conjunction with septal perforation repair included septoplasty in 35 patients (79.5%), rhinoplasty in 22 (50%), and turbinoplasty in 13 (29%). Complete closure of perforation was achieved in 38 (86.4%). The 6 failed cases had an average perforation size of 8.2 mm (range: 3-12) before surgery, which was reduced to an average of 2.2 mm (range: 1-4) after surgery. Among 6, 2 patients had revision surgery and ultimately achieved closure (90.9%). Symptom improvement was observed in 39 patients (37 in 38 success cases and 2 in 6 failed cases, 88.6%). There were no complications except for one patient who presented with postoperative epistaxis. 결론:Nasal septal perforation repair was successful in 90.9% of cases. We could not find any significant factor contributing to failure of closure. Symptom improvement was mostly achieved with perforation closure and combined septoturbinoplasty.