The Tricellufuse Technique for Closing Nasal Septal Perforations

Area of Science:

• Otolaryngology
• Plastic Surgery
• Regenerative Medicine

Background:

• Nasal septal perforation (NSP) is a challenging condition often resulting from septoplasty.
• Spontaneous healing is rare, necessitating surgical repair for stable perforations.
• Existing surgical techniques for NSP repair have varying success rates.

Purpose of the Study:

• To introduce and evaluate a novel surgical technique for medium-sized nasal septal perforations.
• To assess the efficacy of the TriCelluFuse technique combining fascia lata, fat tissue, and diced septal cartilage.
• To identify factors influencing the success of NSP repair.

Main Methods:

• Retrospective analysis of 22 patients with medium-sized NSPs (0.5-2 cm) undergoing repair.
• Utilized an open rhinoplasty approach with a graft of fascia lata, fat tissue, and diced septal cartilage.
• Mean follow-up period of 12 months post-surgery.

Main Results:

• Complete closure of NSP was achieved in 19 out of 22 patients (86.3%).
• The mean perforation size was 12 mm horizontally and 13 mm vertically.
• Smoking was identified as a significant factor in repair failure (P = .036), with 3 cases failing due to smoking.

Conclusions:

• The TriCelluFuse technique demonstrates a high success rate for closing medium-sized nasal septal perforations.
• This novel approach is a secure and reliable option for NSP reconstruction.
• Patient factors, particularly smoking, significantly impact surgical outcomes in NSP repair.