Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

Park, Yoon Sik; Jeong, Do Yoon; Choi, Ji Yun

doi:10.18787/jr.2019.26.2.127

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The majority of cases have asymptomatic perforation; nonetheless, symptomatic cases have recurrent nasal crusting, epistaxis, whistling, dryness, headache, and nasal obstruction. Anterior perforations are typically symptomatic, but posterior perforations are asymptomatic due to the quick humidified by the nasal mucosa, preventing dryness [17].…”

Section: Discussionmentioning

confidence: 99%

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Endoscopically Assisted Repair of Nasal Septal Perforation Using Platelet Rich Plasma

Sharaf

Tamom²,

Al-Bermawy³

et al. 2022

JAMMR

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Background: Nasal septal perforations (NSPs) are nasal septum defects as a result of necrosis to the cartilage or bony tissues in addition to their mucous membrane on both surfaces. the current work aimed to estimate endoscopically assisted repair of medium-sized nasal septal perforation using inferiorly based rotational flap together with Platelet rich plasma (PRP). Methods: It was a randomized controlled double-blind study recruited on 40 cases with anterior septal perforation for endoscopic repair. Patients randomly were allocated into two equal groups: group A were cases with anterior septal perforation for endoscopic repair using inferior based mucosal rotational and septal flaps only and group B were patients subjected to inferior based mucosal rotational and septal flaps together with PRP. All participants were exposed to thorough history taking, laboratory, clinical examination, and radiological investigation. Results: Number of patients who had complete or partial closure of septal perforation, was insignificantly different between both groups. Number of patients who had decrease in size of perforation, same size perforation, residual symptoms, and who were asymptomatic was insignificant difference between both groups. Times to disappearance of residual epistaxis and residual crustation were significantly earlier in group B in comparison with group A (P = 0.001 and 0.011 respectively). Conclusions: Overall, PRP is a promising material for nasal septal perforation. Times to disappearance of residual epistaxis and residual crustation were remarkably earlier in group B in comparison with group A.

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Section: Discussionmentioning

confidence: 99%

“…Despite this, these authors were unable to achieve the success rate of endoscopic procedures utilizing only one flap and a graft. [17].…”

Section: Discussionmentioning

confidence: 99%

Endoscopically Assisted Repair of Nasal Septal Perforation Using Platelet Rich Plasma

Sharaf

Tamom²,

Al-Bermawy³

et al. 2022

JAMMR

View full text Add to dashboard Cite

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Simultaneous Rhinoplasty and Septal Perforation Repair Using the Bone-Cartilaginous Unit

Sazgar,

Zarringhalam

et al. 2024

Aesthetic Surgery Journal

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Background Various techniques are employed for septal perforation repair, but success rates still vary. Numerous mucosal flaps are used for septal perforation closure; however, a scaffold is essential for proper positioning and enhanced mucosal growth. Objectives To assess the effectiveness of using a septal bone/cartilage composite graft (BC unit) to close septal perforations in rhinoplasty patients and evaluate patient satisfaction. Methods This case series included patients with septal perforation undergoing rhinoplasty and perforation repair from 2019 to 2023. BC units were used to cover the cartilaginous perforations in all patients. Patients were followed for a minimum of one year, assessing surgical results and postoperative satisfaction using the 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Results In this study, 31 patients (22 female, 9 male) aged 34.80 ± 10.31 years (19–59 years) were enrolled. Nine had prior septoplasty, while four had undergone septorhinoplasty. The preoperative perforation size ranged from 6 to 27 mm (mean 14.1 mm). At final follow-up, 26 cases (83.8%) achieved complete closure, while three had incomplete closures, and two experienced reperforation. Analysis revealed a notable mean decrease of 31.93 (SD = 26.47) in obstruction domain scores (SCHNOS-O) and a mean decrease of 44.19 (SD = 25.37) in cosmesis domain scores (SCHNOS-C). Conclusions Septal perforation repair and rhinoplasty can be safely and effectively performed concurrently using BC units for suitable candidates.

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Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

Cited by 2 publications

References 5 publications

Endoscopically Assisted Repair of Nasal Septal Perforation Using Platelet Rich Plasma

Endoscopically Assisted Repair of Nasal Septal Perforation Using Platelet Rich Plasma

Simultaneous Rhinoplasty and Septal Perforation Repair Using the Bone-Cartilaginous Unit

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