Inferior turbinate composite graft for repair of nasal septal perforation

Taştan, Eren; Aydoğan, Filiz; Aydın, Esra; Can, İlknur; Demirci, Münir; Uzunkulaoğlu, Hakkı; Ünlü, İlhan

doi:10.2500/ajra.2012.26.3765

Cited by 27 publications

(23 citation statements)

References 29 publications

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“…We provided 96.7% closure rate in our series, majority of whom (22 of 30 patients) had large septal perforation (2-3 cm). Therefore, our success rate was even higher than the previous studies applying bilateral repair techniques (Ozdek et al, 2014;Mansour, 2011;Tastan et al, 2012).…”

Section: Discussion:-contrasting

confidence: 49%

Improved Unilateral Middle Turbinate Mucosal Flap Technique for the Repair of Nasal Septal Perforation: A Sandwich Reconstructi̇on by a Combined Use of Unilateral Middle Turbinate Flap and Free İnferior Turbinate Graft.

Hancı¹,

Altun²,

Uyar³

2018

IJAR

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Objectives:We aimed to present our experience with the improved version of previously reported unilateral middle turbinate mucosal flap technique by addition of a free graft from inferior turbinate for the repair of nasal septal perforation. Methods: This was a retrospective series of 30 patients aged 24-45 (19 women, 11 men) who were operated for the reconstruction of nasal septal perforation between 2010 and 2015. Patients were evaluated clinically by anemnesis, detailed nasal examination and endoscopy. Twenty-two patients had large perforation (2-3 cm), while 8 had perforation <2 cm in size. Sixteen patient were active cigarette smokers. The septal perforation was repaired surgically by a sandwich reconstruction technique, which includes the covering of one side of perforation by a bone containing conchal flab obtained from middle turbinate and the other side by a graft obtained from free inferior turbinate. Results: The patients were followed up postoperatively for 20 months (18-24 months range). The nasal septal perforation was completely closed in 29 out of 30 patients, providing a success rate of 96.7%. In only one patient who was actively smoking, the repair was failed. Conclusion: Bilateral sandwich reconstruction, which is the the combined use of middle turbinate flap and free inferior turbinate graft should be considered as an alternative repair technique for large nasal septal perforations.

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Section: Discussion:-contrasting

confidence: 49%

Improved Unilateral Middle Turbinate Mucosal Flap Technique for the Repair of Nasal Septal Perforation: A Sandwich Reconstructi̇on by a Combined Use of Unilateral Middle Turbinate Flap and Free İnferior Turbinate Graft.

Hancı¹,

Altun²,

Uyar³

2018

IJAR

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“…If the perforation is more to the front of the septum, the clinical symptoms will become more severe. [22] Patients with perforation often need operation to recover the normal respiratory airflow of the nasal cavity and to eliminate clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Analyses and treatments of postoperative nasal complications after endonasal transsphenoidal resection of pituitary neoplasms

Cheng

Wang

et al. 2017

Medicine

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In this study, we analyze and discuss the treatments of postoperative nasal complications after endonasal transsphenoidal resection of pituitary neoplasms (PNs). We performed 129 endonasal transsphenoidal resections of PNs and analyzed and treated cases with nasal complications. After endonasal transsphenoidal resection of PNs, there were 26 cases of postoperative nasal complications (20.1%), including nasal hemorrhage (4.8%), cerebrospinal fluid rhinorrhea (6.9%), sphenoid sinusitis (2.3%), atrophic rhinitis (1.6%), olfactory disorder (1.6%), perforation of nasal septum (0.8%), and nasal adhesion (2.3%). All patients clinically recovered after therapy, which included treatment of the cavity through nasal endoscopy, intranasal corticosteroids, and nasal irrigation. We propose that regular nasal endoscopic review, specific nasal medications, and regular nasal irrigation can effectively clear nasal mucosal hyperemia-induced edema and nasal/nasoantral secretions, as well as promote regeneration of nasal mucosa, prevent nasal adhesion, maintain the sinus cavity drainage, and accelerate the recovery of the physiological function of the paranasal sinus. Timely treatment of patients with nasal complications after endonasal transsphenoidal resections of PNs could greatly relieve the clinical symptoms. Nasal cleaning is very beneficial to patients after surgery recovery.

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“…ise sep tal per fo rasyon ta nı sıy la 27 has ta nın te da vi sin de alt kon ka kom po sit gref ti ni tek ba şı na ya da bi pe di kül lü muko zal flep ler le kom bi ne ede rek kul lan mış, ve hasta la rın %88,8'in de tam ka pan ma yı ba şar mış lar dır. 18 Bir di ğer ça lış ma da 14 sep tal per fo ras yon lu has tanın te da vi sin de tem po ral kas fas ya gref ti ile kom bine tek ta raf lı iler let me mu ko za fle bi kul la nıl mış ve %85,7 ora nın da tam ka pan ma el de edil miş tir. 14 …”

Section: Tar Tiş Maunclassified