Septo-rhinoplasty:the closure of septal perforations

Brain, D. J.

doi:10.1017/s0022215100089179

Cited by 41 publications

(41 citation statements)

References 3 publications

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“…2 Some patients with SP are asymptomatic and, as such, do not require treatment. 5 Medical therapy can play an important role in the treatment of symptomatic SP. It includes saline sprays and irrigations, humidifiers, application of antibiotic ointment, and prosthetic buttons.…”

Section: Commentmentioning

confidence: 99%

A Review of 25-Year Experience of Nasal Septal Perforation Repair

Pedroza

Patrocı́nio

Arevalo

2007

Archives of Facial Plastic Surgery

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To report the long-term follow-up of 25 years of experience in 100 consecutive cases of septal perforation (SP) repair using the technique of the senior author (F.P.).Design: From 1981 to 2006, a total of 100 consecutive patients were surgically treated and followed up for 1 to 10 years. The medical records of 68 of the patients were retrospectively examined. Outcomes were assessed based on comparison of the results of preoperative and last follow-up assessment of SP size and symptoms. The SP repair technique consists of subperichondrial/periosteal dissection, rotation of nasal mucosa for tension-free closure, with no mucosa incision if possible, and a multilayer closure with interposition graft. Results:The most common symptoms were nasal obstruction (72%), crusts (50%), and epistaxis (31%).Previous nasal surgery was the pathogenetic factor in 39 cases (57%). Fifty-two patients (76%) presented with SPs measuring 1.0 to 3.0 cm in diameter. The internal approach was used in 54 cases (79%), and temporal muscle fascia and conchal cartilage were concomitantly used in 45 cases (66%). The great majority of patients (40 [59%]) received more than 5 years of follow-up. The success rate of closure was 97%. Two patients (3%) presented with reperforation measuring less than 1.0 cm in diameter. Conclusions:The senior author's SP repair technique is easily accomplished, provides good visualization, and is low in cost. Also, in our experience, the success rate of closure has been 97%.

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Section: Commentmentioning

confidence: 99%

A Review of 25-Year Experience of Nasal Septal Perforation Repair

Pedroza

Patrocı́nio

Arevalo

2007

Archives of Facial Plastic Surgery

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“…Nasal septal perforation may give rise to either functional problems such as crusting, bleeding, whistling, pain, discharge and obstruction or cosmetic problems such as dorsal saddling or columellar retraction [1]. …”

Section: Introductionmentioning

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

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“…Etyolojide yer alan diğer nedenler; sıkı uygulanan nasal tamponlar, septuma bilateral ve sık uygulanan kimyasal ve elektriksel koterizasyon, uygun tedavi edilmeyen septal hematom, bazı sistemik hastalıklar (Wegener Granulomatozis, sifiliz, tbc), neoplasmalar ve kokain kullanımı olarak sayılabilir (1)(2)(3)(4). Nasal perforasyonu olan hastaların 2/3'ü asemptomatik veya minimal semptoma sahiptir (5). Septal perforasyonu önde yerleşmiş olan hastalar daha semptomatiktirler (5).…”

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“…Nasal perforasyonu olan hastaların 2/3'ü asemptomatik veya minimal semptoma sahiptir (5). Septal perforasyonu önde yerleşmiş olan hastalar daha semptomatiktirler (5). Nasal septal perforasyon ile ilgili semptomlar; kabuklanma, ıslık sesi burun tıkanıklığı, epistaksis, soğuk hava akımı nedeni ile baş ağrısı ve burun akıntısı sayılabilir (1,2).…”

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Our Experience on Repair of Septal Perforation

Çelebi¹,

Caglar²,

Is³

et al. 2013

JAREM

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ÖZETAmaç: Nazal septal perforasyonun boyutlarına ve lokalizasyonuna göre tercih edilen cerrahi yöntemin, tedavi başarısı üzerine olan etkisini araştırmak.Yöntemler: Çalışmaya 2010 ile 2012 yılları arasında septal perforasyon onarımı uygulanan 7 hasta dahil edildi. Septal perforasyonu bulunan 2 hastaya açık teknik yaklaşımla, diğer 5 hastaya kapalı endonazal yaklaşım ile müdahele edildi. Septal perforasyon onarımı sırasında konkal veya septal kartilajdan alınan greftler kullanıldı. Perforasyon onarımı için her iki nazal mukozadan pedünküllü flepler çevrildi. Postoperatif takiplerde cerrahi başarı, nazal endoskopi ile değerlendirildi.Bulgular: Takiplerde septal perforasyon boyutu büyük olan 2 hastada operasyonun başarılı olmadığı tespit edildi. Septal perforasyonu orta ve küçük boyutlarda olan 5 hastada perforasyonun başarı ile onarıldığı tespit edildi.Sonuç: Septal perforasyon onarımının başarısını etkileyen en önemli faktörler; cerrahın yeteneği ve tecrübesi, septumun geri kalan kısmında bulunan doku miktarı, septal perforasyonun boyutu ve lokalizasyonudur. Tedavinin başarısında perforasyonun özelliklerine göre en uygun cerrahi yöntemin kullanılması önemlidir. (JAREM 2013; 3: 28-30) Anahtar Sözcükler: Nasal septal perforasyon, intranasal flepler, septal perforasyon onarımı ABSTRACT Objective: The aim of this study is to investigate the effect of surgical technique, chosen according to the size and localization of nasal septal perforation, on the success of therapy.Methods: Seven patients who underwent repair of septal perforation between 2010 and 2012 were included in this study. Two patients with septal perforation were operated on by the open technique approach, while the other five were operated on by the endonasal approach. Grafts taken from conchal or septal cartilage were used during the repair of septal perforation. For the repair of perforation, pedunculated flaps were rotated from both sides of the nasal mucosa. In the postoperative period, surgical success were evaluated by nasal endoscopy. Results:The operation was not successful for two patients with large septal perforation. Perforation was successfully repaired in five patients with small and medium septal perforations. Conclusion:The most important factors affecting the success of septal perforation repair are the ability and experience of the surgeon, the amount of tissue in the remaider of the septum, the size and the localization of septal perforation. For the success of the treatment, it is important to use the most suitable surgical technique according to the properties of the perforation. (JAREM 2013; 3: 28-30)

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Septo-rhinoplasty:the closure of septal perforations

Cited by 41 publications

References 3 publications

A Review of 25-Year Experience of Nasal Septal Perforation Repair

A Review of 25-Year Experience of Nasal Septal Perforation Repair

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

Our Experience on Repair of Septal Perforation

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