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Results of the endonasal surgical closure of nasoseptal perforations

T D Morre1, C Van Camp, P A Clement

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Free University Brussels, Belgium.

Acta Oto-Rhino-Laryngologica Belgica
|January 1, 1995
PubMed

Insights

Surgical repair of nasal septal perforations, often caused by prior surgery, successfully closed perforations in most patients. This led to a significant reduction in symptoms, improving patient outcomes.

Area of Science:

  • Otorhinolaryngology
  • Plastic Surgery

Background:

  • Nasal septal perforations are a challenging clinical issue.
  • Previous septal surgery is the predominant etiology for these perforations.

Purpose of the Study:

  • To evaluate the efficacy of surgical repair for nasal septal perforations.
  • To assess the impact of surgical closure on patient symptoms and rhinoscopic appearance.

Main Methods:

  • Surgical treatment of eleven patients with nasal septal perforations over seven years.
  • Utilized Cottle septoplasty with bipedicled flaps and autogenous cartilage/bone interposition.
  • Evaluated outcomes based on perforation location, size, pre- and post-operative symptoms, and rhinoscopy.

Main Results:

  • Successful closure of nasal septal perforations in nearly all cases.
  • Significant decrease in pre-operative symptoms following surgical intervention.
  • Positive post-operative rhinoscopic findings indicating successful repair.

Conclusions:

  • Surgical repair using bipedicled flaps and autogenous grafts is an effective method for treating nasal septal perforations.
  • The procedure leads to substantial symptom relief and improved nasal structure.
  • This technique offers a viable solution for patients suffering from the consequences of septal perforations.

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