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Epistaxis01:30

Epistaxis

151
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
151

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Related Experiment Video

Updated: Jun 28, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Simultaneous Rhinoplasty and Septal Perforation Repair Using the Bone-Cartilaginous Unit.

Amir A Sazgar, Mehr A Sazgar, Mohammad A Zarringhalam

    Aesthetic Surgery Journal
    |April 22, 2024
    PubMed
    Summary
    This summary is machine-generated.

    Septal perforation repair using a bone/cartilage (BC) unit graft during rhinoplasty shows high success rates. This method effectively closes perforations and improves patient satisfaction with nasal obstruction and appearance.

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    Area of Science:

    • Otolaryngology
    • Plastic Surgery
    • Regenerative Medicine

    Background:

    • Septal perforation repair techniques have variable success rates.
    • Mucosal flaps are common, but a scaffold is crucial for mucosal growth and graft positioning.

    Purpose of the Study:

    • To evaluate the effectiveness of a septal bone/cartilage (BC) composite graft for closing septal perforations.
    • To assess patient satisfaction following rhinoplasty with concurrent septal perforation repair using BC units.

    Main Methods:

    • A case series of 31 patients undergoing rhinoplasty and septal perforation repair between 2019-2023.
    • Bone/cartilage (BC) units were utilized to cover cartilaginous perforations.
    • Minimum 1-year follow-up assessing surgical outcomes and using the 10-item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).

    Main Results:

    • 83.8% (26/31) of patients achieved complete septal perforation closure.
    • Significant improvements were observed in nasal obstruction (mean decrease of 31.93 SCHNOS-O points) and cosmesis (mean decrease of 44.19 SCHNOS-C points).
    • Mean perforation size was 14.1 mm, with a range of 6-27 mm.

    Conclusions:

    • Concurrent septal perforation repair and rhinoplasty using BC units is a safe and effective procedure.
    • BC units provide a viable scaffold for mucosal growth and successful perforation closure in suitable candidates.