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[Endoscopic surgery for nasal septal perforation].
Qian Huang1, Bing Zhou, De-min Han
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to Capital University of Medical Sciences, Beijing 100730, China. qian_ner@sina.com
Summary
Endoscopic surgery effectively repairs nasal septal perforations using various grafts, achieving an 82.6% success rate. This minimally invasive approach offers a viable solution for septal defects.
Area of Science:
- Otolaryngology
- Surgical Innovation
Context:
- Nasal septal perforation presents a reconstructive challenge.
- Endoscopic techniques offer minimally invasive surgical options.
Purpose:
- To evaluate the efficacy of endoscopic septal reconstruction for nasal septal perforation.
- To identify key factors influencing surgical outcomes.
Summary:
- Twenty-three patients with nasal septal perforation underwent endoscopic repair using diverse graft materials including temporalis fascia, mucoperichondrial flaps, and turbinate flaps.
- Successful reconstruction was achieved in 82.6% of cases (19/23) within a four-week to seven-month follow-up period.
- Complications included flap displacement, shrinkage leading to reperforation, and inadequate flap size.
Impact:
- Intranasal endoscopic reconstruction demonstrates a high success rate for managing nasal septal perforations.
- This technique provides a reasonable and effective surgical management strategy.