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Published on: June 20, 2018
Endoscopic Repair of Septal Perforation Using a Double-Layer Fascia Lata Technique
Kutluhan Cevher1, Ozlem Y Agayarov1
1Department of Otorhinolaryngology-Head and Neck Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
Summary
This study presents an endoscopic double-layer fascia lata technique for septal perforation repair. The novel method achieved a 92.3% complete closure rate in adult patients, offering a stable graft support solution.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Nasal Surgery
Background:
- Septal perforation repair presents significant technical challenges, especially for larger defects requiring robust graft support.
- Existing techniques may have limitations in achieving stable and complete closure.
Purpose of the Study:
- To describe and evaluate an endoscopic double-layer fascia lata technique for septal perforation repair.
- To report the surgical outcomes and complication rates associated with this technique.
Main Methods:
- A consecutive series of 26 adult patients with septal perforations >1 cm underwent endoscopic repair.
- A double-layer fascia lata graft was harvested, folded, secured, and placed under a mucoperichondrial flap, stabilized with splints.
- Graft size was determined by the largest perforation dimension.
Main Results:
- Complete septal perforation closure was achieved in 24 out of 26 patients (92.3%).
- Two patients with larger perforations (≥4 cm) experienced partial closure.
- No perioperative or postoperative complications were reported.
Conclusions:
- The endoscopic double-layer fascia lata technique is a safe and effective method for septal perforation repair.
- This technique provides stable graft support, leading to high rates of complete closure for nasal septal defects.
