The temporoparietal fascia is a thin, pliable and well-vascularized sheet of tissue available in large amounts. It is easily transferred to distant recipient sites by microvascular anastomosis or can be used as island pedicle flap. The fineness and flexibility of this flap, combined with the absence of sequelae at the donor site led us to use the fascia in a case for closure of a nasal septal perforation.