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Published on: June 20, 2018
Polyethylene implants in nasal septal restoration
John J W Cho1, Regan C Taylor, Michael W Deutschmann
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
JAMA Facial Plastic Surgery
|April 13, 2013
Summary
Polyethylene implants effectively close nasal septal perforations (SPs) with a 93% success rate. This technique is technically simple, minimizes patient morbidity, and avoids tissue grafting.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Nasal septal perforations (SPs) present challenges in repair due to technical difficulties and variable success rates.
- Existing surgical techniques for SP closure are often complex and may require autologous tissue grafts.
Purpose of the Study:
- To evaluate the efficacy and ease of using polyethylene (Medpor) implants for nasal septal perforation closure.
- To assess the outcomes and patient morbidity associated with this novel implant-based repair technique.
Main Methods:
- A prospective cohort study involving 14 patients with nasal septal perforations.
- Repair was performed using custom-fitted polyethylene orbital sheet implants placed via an endonasal approach.
- Outcomes were assessed based on successful closure and complete remucosalization at 1-year follow-up.
Main Results:
- The study included 14 patients with nasal septal perforations ranging from 0.5 to 4.0 cm.
- Thirteen out of 14 patients (93%) achieved successful closure of their nasal septal perforations.
- Common presenting symptoms included nasal obstruction, crusting, and epistaxis.
Conclusions:
- Polyethylene implants offer an effective and technically straightforward solution for nasal septal perforation repair.
- This method is associated with low patient morbidity, eliminating the need for donor site tissue harvesting.
- The technique demonstrates high success rates and good graft integration.
