Evaluation of the Efficacy of Surgery for Treatment of Septal Perforation
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 1 No. 1 (2015),
21 February 2015
,
Page pp. 5-8
https://doi.org/10.22037/orlfps.v1i1.9377
Abstract
Background: The majority of septal perforations are caused by trauma either with or without infection. In most of the cases trauma is related to the surgery.
Methods: Twenty patients with nasal perforation who underwent surgery from 2008 to 2011were retrospectively evaluated. Three different surgical approaches were used: bilateral rotational advancement flap of nose floor with fascia through open rhinoplasty, bilateral rotational advancement flap of nose floor with using cartilage through closed method and inferior turbinate rotational flap.
Results: After the surgery, all symptoms disappeared and examinations of healing regions in fifteen patients showed that the perforation was completely healed. In five patients, the perforation size reduced.
Conclusion: Inferior turbinate flap in small perforations would be a logical method with ideal results. In cases with perforation size of one centimeter or larger and in more posterior types, the external method is recommended for a better exposure.
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References
Sharma A, Janus J, Diggelmann HR, Hamilton GS, 3rd. Healing septal perforations by secondary intention using acellular dermis as a bioscaffold. The Annals of otology, rhinology, and laryngology 2015;124:425-429.
Daraei P, Oyesiku NM, Patel ZM. The nasal floor pedicled flap: a novel technique for use in skull base reconstruction. International forum of allergy & rhinology 2014;4:937-943.
Rosen MR, Rabinowitz MR, Farrell CJ, Schaberg MR, Evans JJ. Septal transposition: a novel technique for preservation of the nasal septum during endoscopic endonasal resection of olfactory groove meningiomas. Neurosurgical focus 2014;37:E6.
Ozdek A, Bayır O, Dündar Y, Tatar EC, Saylam G, Korkmaz MH. Closure of nasal septal perforations using bilateral intranasal advancement/rotation flaps. Kulak Burun Bogaz Ihtis Derg 2014;24:123-128.
Foda HM1, Magdy EA. Combining rhinoplasty with septal perforation repair. Facial Plast Surg. 2006 Nov;22(4):281-8.
- Newton JR1, White PS, Lee MS. Nasal septal perforation repair using open septoplasty and unilateral bipedicled flaps. J Laryngol Otol. 2003 Jan;117(1):52-5.
- Pedroza F1, Patrocinio LG, Arevalo O. A review of 25-year experience of nasal septal perforation repair. Arch Facial Plast Surg. 2007 Jan-Feb;9(1):12-8.
Bank J, Beederman M, Naclerio RM3, Gottlieb LJ. Prelaminated fascia lata free flap for large nasal septal defect reconstruction. J Plast Reconstr Aesthet Surg 2014;67:1440-1443.
Peyvandi A, Roozbahany NA. Skull base injury leading to death after conventional septoplasty. Am J Forensic Med Pathol 2013;34:5-6.
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