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Fascia Lata-Fat Island Graft in Septal Perforation Repair
Deniz Hancı1, Cem Çelik1, Hüseyin Altun2
1Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Facial Plastic Surgery & Aesthetic Medicine
|January 12, 2024
Summary
The fascia lata-fat island graft technique successfully repaired 92% of large septal perforations, offering a promising solution for challenging nasal septum defects.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Surgical Techniques
Background:
- Septal perforations pose a significant surgical challenge.
- The fascia lata-fat island graft offers a novel approach to repair.
- This study evaluates a specific graft technique for septal perforation closure.
Purpose of the Study:
- To assess the efficacy of the fascia lata-fat island graft in septal perforation repair.
- To determine the success rate of this technique via nasal endoscopic examination.
- To provide an alternative surgical option for large septal perforations.
Main Methods:
- Retrospective study of 25 patients undergoing septal perforation repair.
- Utilized the fascia lata-fat island graft technique.
- All patients had perforations >2 cm and were followed for 12 months.
Main Results:
- A high success rate of 92% (23/25 patients) for complete perforation closure.
- The technique was applied to large septal perforations (>2 cm).
- Etiology in all cases was prior septal surgery.
Conclusions:
- The fascia lata-fat island graft technique achieves high success rates in repairing large septal perforations.
- Open rhinoplasty approach combined with nasal stenting and 12-month follow-up is effective.
- This method presents a viable alternative for complex septal perforation cases.
