Closure of nasal septal perforation using an open rhinoplasty approach with nasal mucosal advancement flaps and a porcine collagen sandwich is a pertinent and reliable technique for the management of nasal septal perforation.
We usedtheIB-question Glasgow Benefit Inventory (GBI) to conduct a retrospective assessment of quality of life following nasal valve surgery. We telephoned 53 patients who had undergone open rhinoplasty for the treatment of nasal valve collapse overa 2-yearperiod. A totalof 39 patients-24 men and 15 women, aged 20 to 50 years (mean: 3B)-agreed toparticipate and answer the questions. Follow-up ranged from 3 to 12 months (mean: B). The spectrum of possible GBI scores ranges from-100 (maximum negative outcome) to 0 (no change) to +100 (maximum benefit); in ourgroup, the median totalscore was +56 (interquartile range: +32 to+90.5) andtheoverall totalscore was+5B. The three subscale components of the GBI-general benefit, physical benefit, andsocial benefitwere analyzed individually; the respective medianscores were +46 (+21 to +71), +67 (+25 to +91.5), and +50 (+17 to +100), and therespective overall scores were +60, +59, and +50. Based on these findings, we conclude that nasal valve surgery significantly improves qualityof life.
Our study shows a significant improvement in patient's symptoms following insertion of alar suspension sutures. It is, therefore, a reliable, safe, and effective technique in treating nasal obstruction secondary to nasal valve collapse.
Objectives. The aim of this study is to assess the closure success rate and symptoms control in the management of septal perforation using bilateral advancement flaps and porcine collagen.
Method. In a prospective study, twenty‐eight patients underwent treatment for nasal septal perforation by the same surgeon in our institute between 2005 and 2007. Twelve were females and 16 were males with an average age of 45 years (range: 21–76). The mean follow up was 16 months (range: 6–24). The severity of symptoms was assessed pre and post‐operatively by the same assessor using the validated visual analogue score (VAS). The average vertical and horizontal diameters of the perforations were 22 mm (range: 10–35) and 27 mm (range: 10–37) respectively. The nasal valve angle was assessed pre, and post‐operatively by two independent assessors.
Results. At the final follow up, there were statistically significant differences between the pre and post‐operative mean VAS scores in the open rhinoplasty group for epistaxis P < 0.0001, crusting P < 0.001, whistling P < 0.001 and nasal obstruction P < 0.002. One out of the 28 (4%) patients in this group had a 1×2 mm residual perforation but had significant symptoms improvement. Therefore, the closure success rate in the open rhinoplasty group was 96% despite a 100% improvement in relieving symptoms of epistaxis, crusting, and whistling, and a 92% nasal blockage symptom improvement.
Conclusions. We conclude that the use of open rhinoplasty mucosal advancement flaps and porcine collagen sandwich may prove to be a pertinent and reliable alternative in the management of nasal septal perforation.
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