Innovative Repair Method for Septal Perforation Repair: The Fascia Lata and Platelet-Rich Plasma Fusion Technique

Area of Science:

• Otolaryngology
• Surgical Innovation
• Regenerative Medicine

Background:

• Nasal septal perforation (NSP) is a common complication, frequently resulting from septoplasty.
• Spontaneous healing of NSP is rare, with a tendency for progressive deterioration.
• Existing surgical repair methods for NSP vary in efficacy and complexity.

Purpose of the Study:

• To introduce and evaluate an innovative surgical technique for nasal septal perforation (NSP) repair.
• To assess the efficacy of using a fascia lata graft combined with platelet-rich plasma (PRP) for NSP restoration.
• To determine the success rate of this fusion technique across various perforation sizes.

Main Methods:

• Retrospective analysis of 25 patients undergoing NSP repair between January 2021 and January 2023.
• Open rhinoplasty technique utilized for perforation repair.
• Fascia lata graft harvested and secured in place, augmented with PRP.

Main Results:

• A 92% success rate (23 out of 25 patients) in achieving complete closure of nasal septal perforations.
• Mean follow-up period of 12 months.
• Successful closure of large perforations; smoking identified as a factor in two unsuccessful medium-sized NSP repairs.

Conclusions:

• The Fascia Lata and Platelet-Rich Plasma (PRP) fusion technique is a secure and dependable method for closing nasal septal perforations.
• This approach demonstrates a notable success rate and should be considered a viable option for NSP treatment.
• The technique shows promise for restoring nasal septal integrity, even in cases of large perforations.