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External rhinoplasty approach for septal perforation
1Department of E.N.T., Head and Neck Surgery, University Hospital St. Rafaël, KUL, Leuven, Belgium.
Summary
Closing nasal septal perforations using the external rhinoplasty approach is highly successful. This method, utilizing autologous grafts, effectively resolves symptoms like nasal obstruction.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Nasal septal perforations can cause significant symptoms, including nasal obstruction.
- Surgical closure is a treatment option for persistent septal perforations.
Purpose of the Study:
- To evaluate the efficacy of the external rhinoplasty approach for closing nasal septal perforations.
- To assess symptomatic improvement following surgical repair.
Main Methods:
- Nine patients with septal perforations (8-30 mm) underwent closure using an external rhinoplasty technique.
- Autologous grafts were consistently used to bridge the mucoperichondrial flaps.
Main Results:
- Seven out of nine septal perforations were successfully closed.
- All patients reported symptomatic improvement, particularly in nasal obstruction.
Conclusions:
- The external rhinoplasty approach offers excellent septal exposure, leading to a high success rate for perforation closure.
- This technique provides effective symptomatic relief for patients with nasal septal perforations.