**3.5 Wound closure**

A reassessment of the nasal airway can be performed after completing the above procedures, and any minor adjustments can be addressed. Then, the septal flap is reapproximated. The hemitransfixion or Kilian incision is closed with simple interrupted 4-0 chromic sutures. The septum can be closed with a through-and-through quilting 4-0 chromic suture, which eliminates dead space and prevents development of septal hematoma. If mucosal tears are present, the silastic splints can be placed at each side of the nasal cavity and removed in 5–7 days.
