A new classification for septal perforation and effects of treatment methods on quality of life

Sapmaz, Emrah; Toplu, Yüksel; Somuk, Battal Tahsin

doi:10.1016/j.bjorl.2018.06.003

Cited by 25 publications

(24 citation statements)

References 32 publications

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“…The flap had posterior wide pedicle. Our technique resembled the method used by Sapmaz et al 2018 [6] who had 95% successful results.…”

Section: Discussionmentioning

confidence: 75%

“…Fashioning of a good vascularized flap is one of the most important factors of success it should have a wide base, supplied with one of the main vessels, and big enough to cover the perforation and to be fixed with sutures without tension. If we compare different flaps, it was found that the best results were achieved by the superior flap based on ethmoidal arteries (100%) [6] and the posterior flap based on Sphenopalatine artery (95%) [7 and this study]. These arteries form the main supply of the nasal septum.…”

Section: Discussionmentioning

confidence: 89%

“…Local mucosal flaps included inferior turbinate flap [4,25] , superior mucosal flap [23] , inferior meatal flap [5] , anterior flap [1] , antro-inferior and postro-inferior rotation flaps [10] Posterior nasal flap [6] and superior nasal flap based on Anterior ethmoidal artery [7] , ( Figure 10).…”

Section: Introductionmentioning

confidence: 99%

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Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Begermy

El-Begermy

Kassamy

2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Background : Nasal septal surgery is the most frequent cause of nasal septal perforations (NSP). Sometimes when symptomatic they need repair. There are many methods described for repair with a variable percent of success. The multiplicity of techniques and approaches reflect the difficulty of repair. Objective: To describe a new effective method to repair NSP using a butterfly composite conchal cartilage graft (BCG) with local posteriorly pedicled flap in repair of NSP. Patients and Methods: Eleven patients with NSP after nasal septum surgery were involved in this study. In all of them an ample flap, right sided, pedicled posteriorly on sphenopalatine artery was fashioned. It was rotated to cover the perforation on the right side. A composite skin choncal cartilage graft equal to NSP diameter is dissected. The cartilage graft was fashioned by splitting its edge circumferentially with a depth of 2-3 mm and was positioned with the skin island lying on the left side and the fissured graft edge embracing the perforation cartilaginous border inside its fissure. The graft and the flap were fixed in place with quilting and mattress sutures and silastic sheets on both sides. Mucosal flap was used alone in three cases with small perforations. Results: Complete closure of NSP was achieved in 10 cases (91%). Only one case the graft was rejected with partial closure of the perforation due to bad fixation and secondary infection. Conclusion: BCG was an excellent graft to repair NSP if associated with posteriorly pedicled mucosal flap supplied by the sphenopalatine artery.

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“…The flap had posterior wide pedicle. Our technique resembled the method used by Sapmaz et al 2018 [6] who had 95% successful results.…”

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Begermy

El-Begermy

Kassamy

2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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“…Es importante resaltar que ninguna de estas se trató de una complicación mayor. En cuanto a la infección del sitio operatorio, Kridel y colaboradores en 2018 reportaron tasas de 25 % cuando se usan injertos de dermis acelular (21,22); la cual es mayor en comparación con la obtenida con el uso del cartílago de banco reportada en este estudio (4,3 %). Sin embargo, es importante aclarar que no se encontró hasta la fecha otro estudio que describa la técnica quirúrgica con injertos de banco de tejidos.…”

Section: Discussionunclassified

Resultados postoperatorios de cierre quirúrgico de perforación septal con injertos de cartílago.

Taborda¹,

Orozco²,

Cely³

2020

Acta otorrinolaringol cir cabeza cuello

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Introducción: Las perforaciones septales y su corrección quirúrgica constituyen un reto para los otorrinolaringólogos. Se encuentran descritas en la literatura diferentes técnicas para el cierre de perforaciones septales; sin embargo, sus resultados en términos de efectividad son muy variables y con pocos pacientes. Desde hace 8 años se viene realizando la técnica de cierre de perforación septal con injertos de cartílago en el servicio de otorrinolaringología del Hospital San José y se ha observado una respuesta clínica exitosa. Objetivo: describir los resultados postoperatorios de los pacientes manejados con la técnica de cierre quirúrgico de perforación septal con injertos de cartílago, en términos de aparición de complicaciones y frecuencia de perforación septal residual. Diseño: estudio de tipo cohorte descriptiva. Metodología: se describe una cohorte de pacientes manejados con la técnica de cierre quirúrgico de perforación septal con injertos de cartílago de banco o cartílago autólogo. Se incluyeron pacientes a partir de enero de 2014 a junio de 2018. Se extrajeron de la historia clínica los datos demográ cos, clínicos, complicaciones y presentación de perforación septal residual. Resultados: la tasa de éxito de cierre de perforación septal fue de 78,3 %; siendo las etiologías más frecuentes antecedente de cirugía e idiopática. La complicación más común fue epistaxis en el 26 % de los pacientes, seguida de dolor en el 21,7 % en el postoperatorio mediato, el cual mejoró en los controles posteriores. Conclusión: Los resultados con la técnica de cierre de perforación septal con injerto de banco fueron satisfactorios en esta población.

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“…granulomatous diseases, topical drug use (steroids and cocaine), bilateral nasal cauterization, nasal tampons, nose piercings. They are the most common anterior and rarely originate posterior and superior [6,7]. Septal perforation surgery is quite difficult.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2019

J Otolaryngol Rhinol

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A new classification for septal perforation and effects of treatment methods on quality of life

Abstract: The septal perforation classification we propose would be beneficial for providing realistic dimensions, treatment methods, and surgical techniques.

Cited by 25 publications

References 32 publications

Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Use of Butterfly Composite Conchal Cartilage Graft with Local Posteriorly Pedicled Flap in Repair of Nasal Septum Perforations

Resultados postoperatorios de cierre quirúrgico de perforación septal con injertos de cartílago.

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