Perforation of the Nasal Septum: The Reverse Flap Technique

Gollom, Joseph

doi:10.1001/archotol.1968.00770010520012

Cited by 47 publications

(20 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other methods that use skin grafts or buccal mucosa grafts close the perforation but leave the patient with a dry crusting nose because respiratory nasal mucosa is not present. Gollom, 6 Fairbanks, 7 Kridel, 1,3,4 Kridel et al, 2 and Goodman and Strelzow 5 all have advocated the use of bilateral mucosal transpositional flaps taken from the floor of the nose with the interposition of a connective tissue graft as a necessary component (Figure 1). The connective tissue graft helps prevent reperforation of the septal flaps as healing occurs and serves as a template for mucosal migration.…”

Section: Methodsmentioning

confidence: 99%

“…Occasionally a perforation cannot be closed completely on 1 or both sides, and the connective tissue interpositional graft can serve as a template for migration of the overlying healing flaps. Gollom 6 and Fairbanks 7 reported their results using the endonasal approach, whereas Kridel et al, 2 Kridel, 3 and Goodman and Strelzow 5 reported their results using the external open approach to obtain improved visualization. The acellular dermal graft can be used with either approach.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Septal Perforation Repair With Acellular Human Dermal Allograft

Kridel

Foda²,

Lunde³

1998

Arch Otolaryngol Head Neck Surg

223

150

View full text Add to dashboard Cite

Acellular human dermal grafts can be used as connective tissue interpositional grafts in the repair of septal perforations with success rates similar to the use of temporalis fascia, mastoid periosteum, or pericranium. One distinct advantage is the absence of donor-site morbidity. In addition, this graft material is thicker and easier to place and suture and may give more substance to the repaired septum.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Septal Perforation Repair With Acellular Human Dermal Allograft

Kridel

Foda²,

Lunde³

1998

Arch Otolaryngol Head Neck Surg

223

150

View full text Add to dashboard Cite

show abstract

“…Conclusions: Repair of nasal septal perforations is a challenging procedure especially in children. Good Various methods of surgical closure of the perforation have been described: advancement and suture of the perforation border [2], the use of an oral mucosal flap [3], temporalis fascia graft [4], conchal cartilage with perichondrium and mastoid periosteum [5], inferior turbinate flap [6], tragal cartilage with perichondrium and temporalis fascia [7], bone and temporalis fascia graft [8], acellular human dermal allograft [9] and two-stage expanded mucosal flaps [10] have been described. Despite the numerous techniques, there is no ideal surgery especially for larger perforations.…”

Section: Discussionmentioning

confidence: 99%

Repair of nasal septal perforations using auricular conchal cartilage graft in children: Report on three cases and literature review

Chua¹,

Tan²

2006

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…Currently available surgical procedures for nasal septal perforations include advancement mucosal flaps,1 lateral nasal wall flaps,2 and autografts using temporal fascia3 or allograft dermal matrix 4. Surgical approaches include the endonasal approach and the open external approach 5.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment Using an Allograft Dermal Matrix for Nasal Septal Perforation

Lee

Ban

et al. 2008

Yonsei Med J

View full text Add to dashboard Cite

PurposeNumerous methods have been utilized to repair nasal septal perforation with varying degrees of success; however, no consensus has been reached on nasoseptal perforation repair. Here, the authors describe a surgical method based on human dermal allograft (Surederm™, Hans Biomed Corp. Korea) for the repair of nasal septal perforations.Materials and MethodsEleven patients with a nasal septal perforation were included in this study. The causes of these septal perforations included previous nasal surgery, trauma, foreign body (button battery), and idiopathy. There were several sites of perforation: 9 in the central area, 1 in the posterior-central area, and 1 in the anterior area. An interpositional graft incorporating Surederm™ was positioned between bilateral mucoperichondrial flaps using an intranasal approach. A silastic sheet was then left in the nasal septum bilaterally until complete healing had occurred through new nasal mucosa, which took a mean duration of 6 weeks.ResultsOutcomes in ten of the eleven patients were successful, with complete septal perforation closure. The remaining perforation, which was caused by a button battery, closed incompletely; however, its initial size of 2 cm was reduced to 5 mm.ConclusionThe described technique has a high success rate and can be performed under local anesthesia without external scarring. In the absence of donor site morbidity, this technique can also be utilized to repair posterior or multiple septal perforations without difficulty.

show abstract

Perforation of the Nasal Septum: The Reverse Flap Technique

Cited by 47 publications

References 5 publications

Septal Perforation Repair With Acellular Human Dermal Allograft

Septal Perforation Repair With Acellular Human Dermal Allograft

Repair of nasal septal perforations using auricular conchal cartilage graft in children: Report on three cases and literature review

Surgical Treatment Using an Allograft Dermal Matrix for Nasal Septal Perforation

Contact Info

Product

Resources

About