Sandwich graft technique outcomes in medium and large size nasal septal perforations

Özer, Serdar; Süslü, Ahmet Emre; Yılmaz, Taner; Önerci, T. Metin

doi:10.1016/j.bjorl.2020.12.018

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…Our approach was adopted by others who later published case series. 28 Indeed, there have been Turkish and Chinese case reviews of similar techniques, using costal cartilage and anterior rectus abdominis fascia, 29 additional free mucosal flaps, 30 or a sandwich‐like fascia separation. 31 Here, we are excited to present the first results from the original and largest cohort to date.…”

Section: Discussionmentioning

confidence: 99%

The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes

Bier,

Klingner,

Stadlhofer

et al. 2024

Laryngoscope Investig Oto

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ObjectiveNasal septum perforation (NSP) is a common condition affecting ~1.2% of the general population and is still considered challenging to treat. Therapeutic strategies range from conservative local treatments and septal button closures to over 40 different surgical approaches. This study aimed to present a novel secure approach.MethodsWe describe our novel and unique NSP closure approach using a “fascia taco,” in which conchal cartilage is enveloped by temporalis fascia like a taco and splints are left in place for 6–8 weeks. A review of patient charts was conducted and questionnaires including the German‐SNOT‐22 and D‐NOSE were sent by mail to all eligible patients who received a fascia taco between 2016 and 2021.ResultsThirty‐three patients were identified. The questionnaire response rate was 54.5%. The mean operative time (cut to sew) for all patients who only underwent NSP closure was 90.4 min. The overall success rate in terms of postoperative NSP closure was 81.8%. We found an apparent but nonsignificant association between closure failure and smoking (failure rate 66.6% in smokers vs. 15.4% in nonsmokers; X2 = 3.4188, p = .064). Questionnaire analysis showed a significant postoperative reduction of mean values in D‐NOSE from 60.8 to 33.1 (p = .009) and in German‐SNOT‐22 from 38.6 to 21.2 (p = .005).ConclusionThe fascia taco technique is an easy‐to‐apply, safe procedure for NSP closure that is short in duration and associated with a low morbidity, resulting in excellent patient satisfaction.Level of Evidence4.

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Section: Discussionmentioning

confidence: 99%

The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes

Bier,

Klingner,

Stadlhofer

et al. 2024

Laryngoscope Investig Oto

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“…While pedicled flaps maintain their own blood supply and rotate or advance mucosa over the perforation, interposition grafts serve as a scaffold that depends on mucosal regrowth across the graft over time. 41 These are often placed between mucosal flaps that are elevated on either side of the perforation. Multiple different graft options have been described including septal or conchal cartilage, temporalis or mastoid fascia, pericranium, acellular human dermis (Alloderm), and polydioxanone (PDS), though several studies have shown no significant difference in success rate by type of graft.…”

Section: Interposition Graftsmentioning

confidence: 99%

Repair of Septal Perforations

2022

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“…Non-validated visual analog scales, Likert scales, and symptom inventories have been applied to perforation evaluation and treatment. [1][2][3][4][5][6] Validated patient-reported outcome measures are an established standard for objectively identifying disease-related symptoms and response to treatment. The Nasal Obstruction Symptom Evaluation (NOSE) scale and Sino-Nasal Outcome Test-22 (SNOT-22) have been used to evaluate perforation symptomatology and response to treatment.…”

Section: Introductionmentioning

confidence: 99%

Septal Perforation Repair Quality of Life Outcomes Using the Revised 15-item Glasgow Benefit Inventory

Taylor

Marino

Bansberg

2023

Ann Otol Rhinol Laryngol

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Background: The 18-item Glasgow Benefit Inventory (GBI) has been widely used to measure patient general health response to otorhinolaryngologic and facial plastic interventions. The GBI was recently reorganized into 15 questions with 5 sub-scale factors ( GBI-5F) to improve its utility. Application of the GBI-5F to septal perforation treatments may improve our understanding of quality of life outcomes. Methodology/Principal: The GBI was given to patients seen from August 2018 through October 2021 who were at least 6 months postoperative attempted perforation surgical closure using bilateral nasal mucosal flaps with an interposition graft. Original GBI and GBI-5F scores were computed and subgroup analysis performed in this retrospective medical record review. Results: Of the 98 patients (mean age 45.5 years) who met study criteria, 65 were female. Mean perforation length was 12.9, and height 9.7 mm. The mean postoperative time to GBI completion was 12.7 months. Highest GBI-5F scores were noted in the Quality of Life factor, followed by Self-confidence and Social Involvement. Females reported significantly higher scores than men. Total GBI scores were similar to those recorded for other rhinologic procedures. Conclusions: The GBI-5F provides measurable insight into patient quality of life benefit following septal perforation repair.

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Sandwich graft technique outcomes in medium and large size nasal septal perforations

Cited by 7 publications

References 12 publications

The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes

The “fascia taco” for nasal septum perforation closure—A retrospective Cohort study on success rates and patient reported outcomes

Repair of Septal Perforations

Septal Perforation Repair Quality of Life Outcomes Using the Revised 15-item Glasgow Benefit Inventory

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