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Repair of nasal septal perforation using inferior turbinate graft

Published online by Cambridge University Press:  27 January 2011

Hesham A K A Mansour
Hesham A K A Mansour*
Affiliation:
Assistant Professor of Otorhinolaryngology, Cairo University, United Doctors Hospital, Jeddah, Saudi Arabia
*
Address for correspondence: Dr Hesham A Kader A Mansour, Assistant Professor of Otorhinolaryngology atCairo University, United Doctors Hospital, Jeddah 21458, P O Box 33692, Saudi Arabia E-mail: heshamansour@yahoo.com
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Abstract

Objective:

Nasal septal perforation can cause troublesome symptoms. Surgical repair is indicated in symptomatic patients. Many approaches and techniques have been described, each with its advantages and indications.

Method:

The study included six patients with symptomatic nasal septal perforations sized 1–2.5 cm horizontally by 0.5–1.5 vertically. Patient symptoms included nasal crusts (all patients), nasal obstruction (five), cacosmia (three) and recurrent epistaxis (three). Patients underwent endonasal endoscopic repair using an inferior turbinate free graft applied between the mucoperichondrium of both septum sides. Follow up ranged from six months to two years.

Results:

Five patients (83 per cent) had complete perforation closure and one had partial closure. All patients were symptom-free post-operatively.

Conclusion:

This endoscopic endonasal approach, using an inferior turbinate free graft, is effective in closing small and medium-sized nasal septal perforations.

Keywords

Nasal SeptumTurbinatesEndoscopyPerforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 474 - 478
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Pedroza, F, Patrocinio, LG, Arevalo, O. A review of 25-year experience of nasal septal perforation repair. Arch Facial Plast Surg 2007;9:12–18CrossRefGoogle ScholarPubMed
2Williams, N. What are the causes of a perforated nasal septum? Occup Med 2000;50:135–6CrossRefGoogle ScholarPubMed
3Re, M, Paolucci, L, Romeo, R, Mallardi, V. Surgical treatment of nasal septal perforations, our experience. Acta Otorhinolaryngol Ital 2006;26:102–9Google ScholarPubMed
4Døsen, LK, Haye, R. Nasal septal perforation 1981–2005: changes in etiology, gender and size. BMC Ear, Nose and Throat Disorders 2007;7:1CrossRefGoogle ScholarPubMed
5Kridel, RW. Septal perforation repair. Otolaryngol Clin North Am 1999;32:695–724CrossRefGoogle ScholarPubMed
6Facer, GW, Kern, EB. Nonsurgical closure of nasal septal perforations. Arch Otolaryngol Head Neck Surg 1979;105:6–8CrossRefGoogle ScholarPubMed
7Ayshford, CA, Shykhon, M, Uppal, HS, Wake, M. Endoscopic repair of nasal septal perforation with acellular human dermal allograft and an inferior turbinate flap. Clin Otolaryngol Allied Sci 2003;28:29–33Google Scholar
8Friedman, M, Ibrahim, H, Ramakrishnan, V. Inferior turbinate flap for repair of nasal septal perforation. Laryngoscope 2003;113:1425–8CrossRefGoogle ScholarPubMed
9Stoor, P, Grenman, R. Bioactive glass and turbinate flaps in the repair of nasal septal perforations. Ann Otol Rhinol Laryngol 2004;113:655–61CrossRefGoogle ScholarPubMed
10Hussain, A, Kay, N. Tragal cartilage inferior turbinate mucoperiosteal sandwich graft technique for repair of nasal septal perforations. Arch Otolaryngol Head Neck Surg 1992;106:893–5Google ScholarPubMed
11Fairbanks, DNF. Closure of nasal septal perforations. Arch Otolaryngol Head Neck Surg 1980;106:509–13CrossRefGoogle ScholarPubMed
12Goodman, WS, Strelzow, VV. The surgical closure of nasoseptal perforations. Laryngoscope 1982;92:121–4CrossRefGoogle ScholarPubMed
13Kridel, RWH, Foda, H, Lunde, KC. Septal perforation repair with acellular human dermal allograft. Arch Otolaryngol Head Neck Surg 1998;124:73–8CrossRefGoogle ScholarPubMed
14Lee, D, Joseph, EM, Pontell, J, Turk, JB. Long-term results of dermal grafting for the repair of nasal septal perforations. Otolaryngol Head Neck Surg 1999;120:483–6CrossRefGoogle ScholarPubMed
15Bryan, TA, Zimmerman, J, Rosenthal, M, Pribitkin, EA. Nasal septal repair with porcine small intestinal submucosa. Arch Facial Plast Surg 2003;5:528–9Google Scholar
16Lee, KC, Lee, NH, Ban, JH, Jin, SM. Surgical treatment using an allograft dermal matrix for nasal septal perforation. Yonsei Med J 2008;49:244–8CrossRefGoogle ScholarPubMed
17Karlan, MS, Ossoz, R, Sisson, GA. A compendium of intranasal flaps. Laryngoscope 1982;92:121–4CrossRefGoogle ScholarPubMed
18Heller, JB, Gabbay, JS, Trussler, AM, Heller, MM, Bradley, JP. Repair of large nasal septal perforations using facial artery musculomucosal (FAMM) flap. Ann Plast Surg 2005;55:456–9CrossRefGoogle ScholarPubMed
19Sachs, ME, Foster, CA, Corovin, GS. Repair of nasal septal perforation utilizing the midface degloving technique. Arch Otolaryngol Head Neck Surg 1988;114:739–42Google Scholar
20Romo, T, Jablonski, RD, Shapiro, AL, McCormick, SA. Longterm nasal mucosal tissue expansion use in repair of large nasoseptal perforations. Arch Otolaryngol Head Neck Surg 1995;121:327–31CrossRefGoogle ScholarPubMed
21Paloma, V, Samper, A, Cernera-Paz, FJ. Surgical technique for the reconstruction of the nasal septum: the pericranial flap. Head Neck 2000;22:90–43.0.CO;2-2>CrossRefGoogle ScholarPubMed
22Mobley, SR, Boyd, JB, Astor, FC. Repair of a large septal perforation with a radial forearm free flap: brief report of a case. Ear Nose Throat J 2001;80:512CrossRefGoogle ScholarPubMed
23Lee, HR, Ahn, DB, Park, JH, Kim, YH, Sin, CM, Youn, SJ et al. Endoscopic repairment of septal perforation with using a unilateral nasal mucosal flap. Clin Exp Otorhinolaryngol 2008;1:154–7CrossRefGoogle ScholarPubMed
24Hier, MP, Yoskovitch, A, Panje, WR. Endoscopic repair of a nasal septal perforation. J Otolaryngol 2002;31:323–6CrossRefGoogle ScholarPubMed