Purpose:
Nasal septal perforation (NSP) consists of defects of mucosa, cartilage, and bone. Nasal septal surgery is by far the most common cause of NSP. Many surgical approaches have been described for NSP repair. In this study, the authors describe a novel technique for repairing all sizes of NSP using an only fascia lata graft.
Methods:
The authors implemented a retrospective study design. Seventeen patients who underwent NSP repair between January 2016 and January 2019 were included to the study. Entire nasal surgical steps were performed under endoscopic view, harvested fascia lata graft is placed in tympanoplasty fashion after all edges of perforation is elevated and implantation bed is prepared.
Results:
The mean size of the septal peforations were 18.52 ± 4.17 mm horizontally, 11.52 ± 3.42 mm vertically. The mean follow up period was 14.47 ± 9.5 months (range: 2–36). In 15 of the 17 patients, total NSP closure was achieved (88,23%).
Conclusions:
Endoscopic close technique using fascia lata for nasal septal perforation closure is a safe and reliable technique with high success rate and it should be considered in patients with nasal septal perforation.
Address correspondence and reprint requests to Gediz Murat Serin, MD, Department Ear Nose Throat, Acibadem University Maslak Hospital, Buyukdere Caddesi, No: 40, Istanbul 34390, Turkey; E-mail: gedizserin@yahoo.com
Received 10 April, 2019
Accepted 10 April, 2020
The authors report no conflicts of interest.
Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).
© 2020 by Mutaz B. Habal, MD.
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου