Endoscopic Repair of a Nasal Septal Perforation

Hier, Michael P.; Yoskovitch, Adi; Panje, William R.

doi:10.2310/7070.2002.29958

Cited by 34 publications

(51 citation statements)

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“…These include the advancement or rotation of well-vascularized local mucosal flaps from adjacent areas (the nasal septum, floor, lateral wall, turbinate, labial mucosa, or nasolabial areas) and grafts (auricular composite graft, fascia and pericranium grafts, and mucosal graft). 3 Also, interpositional grafts have been used for scaffolding between the local mucosal flaps to decrease the risk of incisional dehiscence and reperforation. [7][8][9] Open or closed approaches have been used in septal perforation repair surgery.…”

Section: Discussionmentioning

confidence: 99%

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Inferior turbinate composite graft for repair of nasal septal perforation

Taştan

Aydoğan²,

Aydın³

et al. 2012

am j rhinol allergy

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The ITCG technique provides three-layer repair of the defect under no tension in closure of small perforations located anteriorly, posterior perforations with mucosal atrophy, or previous unsuccessful surgical repair. In graft-depleted revision rhinoplasty cases with small-sized septal perforations, this technique provides a simple solution with autogenous grafts. In cases involving larger perforations, the ITCG technique can easily be combined with bipedicled flap and allows for more options to solve a challenging problem. Current data from this prospective study suggest that this surgical technique may be used in the repair of nasal septal perforation.

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Section: Discussionmentioning

confidence: 99%

“…It includes technical difficulties, limited surgical exposure, and unpredictable results in different hands. 2,3 The ideal repair would resurface the septum with respiratory mucosa of nasal origin. 5 Although many surgical techniques have been described for septal perforation repair there is no single and reliable technique in closing all perforations.…”

mentioning

confidence: 99%

Inferior turbinate composite graft for repair of nasal septal perforation

Taştan

Aydoğan²,

Aydın³

et al. 2012

am j rhinol allergy

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“…Typically, when the mucoperichondrium is disrupted on both side of the cartilage, then the nasal septum is deprived of its blood supply and so a nasal septal perforation is formed (7). There are numerous causes of nasal septal perforation, including trauma, nasal surgery (septoplasty), digital manipulation, drugs and neoplasms (11).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Repairment of Septal Perforation with Using a Unilateral Nasal Mucosal Flap

Lee

Ahn

Park

et al. 2008

Clin Exp Otorhinolaryngol

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ObjectivesNasal septal perforation is an anatomic defect of the cartilaginous and bone tissues of the nasal septum. Many approaches and techniques to repair nasal septal perforations have been reported on. The purpose of this paper is to report on our surgical technique and the results of the treatment for nasal septal perforations.MethodsFrom May 2001 to March 2008, 14 patients (12 males and 2 females; mean age: 41.3 yr) were enrolled. The mean perforation size was 15 mm, and all the perforations were located at the cartilaginous portion. Our surgical technique is based on an endoscope-assisted endonasal approach, with dissection of unilateral advanced mucosal flaps with using a temporalis fascia graft. The follow-up periods ranged from 3 to 23 months (mean follow-up period: 8 months).ResultsUsing our surgical technique on 14 patients, 12 cases (85.7%) of septal perforation were closed without complication. The remaining two patients (14.3%) had incomplete closures (about 2-3 mm) without any significant symptoms related to the remaining perforation.ConclusionOur technique is a viable procedure with a high success rate for achieving closure of nasal septal perforations. It has the advantages of shortening the operative time, no external incision and avoiding any other perforation during the operation. Therefore, we consider it to be a good alternative for repairing nasal septal perforations.

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“…Most symptomatic perforations are large and involve the anterior cartilaginous portion of the septum, whereas posterior perforations tend to be less symptomatic because of the rapid humidification of the inspired air by the nasal mucosal lining and the turbinates [5][6][7][8] . The patients with mild symptoms can be treated with nasal saline irrigations, humidifiers and antibiotic ointments [14,15] . However, some patients with perforations present with troublesome symptoms including epistaxis, crusting, obstruction and whistling, and if these symptomatic cases do not respond to conservative measures, they should be treated surgically [10] .…”

Section: Discussionmentioning

confidence: 99%

Upper Lateral Cartilage Inner Mucoperichondrial Flap Technique for the Repair of Nasal Septal Perforation

Ceylan

Ileri²,

Çelenk³

et al. 2007

ORL

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Treatment of nasal septal perforations which decrease quality of life is a surgical challenge with variable success rates. Numerous surgical methods have been proposed for closure of perforations. The technique described in this article, i.e. closure of the perforation with an upper lateral cartilage mucoperichondrial flap through an external septorhinoplasty approach, is an alternative surgical technique. Twenty-four patients with symptomatic nasal septal perforation were operated on using this technique and followed up for a mean duration of 28 months. Preoperative and postoperative symptom scores for crusting, nasal obstruction, bleeding, discharge, whistling, headache, nasal pain, snoring and olfactory loss as well as overall discomfort levels were compared using a visual analogue scale. Complete closure of the perforation was achieved in 19 patients.

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Endoscopic Repair of a Nasal Septal Perforation

Cited by 34 publications

References 0 publications

Inferior turbinate composite graft for repair of nasal septal perforation

Inferior turbinate composite graft for repair of nasal septal perforation

Endoscopic Repairment of Septal Perforation with Using a Unilateral Nasal Mucosal Flap

Upper Lateral Cartilage Inner Mucoperichondrial Flap Technique for the Repair of Nasal Septal Perforation

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