Buccal Sulcus Approach to Septal Perforation Repair
Kenny T Quang1, Ananth Murthy2
1Summa Health Systems, Division of Plastic Surgery, Akron, Ohio.
Insights
Treating nasal septal perforations is difficult, with high recurrence rates. A novel midfacial degloving approach avoids endonasal or external incisions, offering a new surgical option.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Surgical Innovation
Background:
- Nasal septal perforations present significant treatment challenges, often with high recurrence rates (30-70%).
- Current surgical techniques, including rhinoplasty, require extensive dissection and tissue transfer, especially in pediatric cases.
- Existing methods face limitations due to small anatomical structures and limited tissue availability in children.
Abstract:
The treatment of septal perforations is a challenging endeavor. The recurrence rate ranges from 30% to 70%. Operative correction often requires wide dissection, local flaps, and septal spacers. The pediatric population poses an even greater challenge given the limited size for visualization and less tissue available to transfer. The most common and successful methods involve endoscopic and open rhinoplasty techniques. The authors present a midfacial degloving approach via a transoral, gingivobuccal approach that does not require an endonasal component or external incisions.
Related Concept Videos
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Suctioning the Nasopharyngeal Airway
Equipment Required
Tracheostomy Suctioning II: Procedure
Mitral Stenosis III: Medical Management


