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Septal Perforation Repair Using Polydioxanone Plates: A 10-Year Comparative Study.

Jordan P Sand1, Shaun C Desai, Gregory H Branham

  • 1St. Louis, Mo. From the Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Washington University School of Medicine.

Plastic and Reconstructive Surgery
|September 24, 2015
PubMed
Summary

For medium to large septal perforations, a novel technique using a polydioxanone plate and temporalis fascia demonstrated the highest closure rate in rhinoplasty repair. This method also proved easier to place during the septal perforation surgery.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Surgical Innovation

Background:

  • Septal perforations, particularly medium to large ones, present significant challenges in rhinoplasty.
  • Effective surgical repair is crucial for restoring nasal function and aesthetics.

Purpose of the Study:

  • To evaluate the outcomes of different grafting techniques for medium to large septal perforation repair.
  • To identify the most effective method for achieving successful septal perforation closure.

Main Methods:

  • A retrospective review of 25 patients undergoing septal perforation repair over 10 years.
  • Utilized an open septorhinoplasty approach with bilateral mucoperichondrial flaps.
  • Compared grafts including acellular dermis, temporalis fascia alone, and a novel technique with temporalis fascia and a polydioxanone plate.

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Main Results:

  • The technique employing a polydioxanone plate with temporalis fascia showed the highest rate of successful septal perforation closure.
  • This novel approach facilitated easier graft placement between opposing mucoperichondrial flaps.
  • Other grafting materials were also assessed for efficacy in septal repair.

Conclusions:

  • The combination of a polydioxanone plate and temporalis fascia is a superior method for scaffolding grafts in medium to large septal perforation repair.
  • This technique offers both high efficacy and practical advantages for surgeons performing rhinoplasty.
  • Further research may explore long-term outcomes of this innovative septal closure method.