کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4121912 | 1270408 | 2006 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines](/preview/png/4121912.png)
SummaryIn this article, we briefly review the aetiology and symptoms of nasal septal perforations, and focus on a surgical reconstruction technique of which the results were retrospectively studied. The technique described, involves the interposition of a connective tissue graft between differently designed local mucoperichondrial and/or mucoperiosteal flaps on each side of the perforation, thereby preventing opposing suture lines. On one side a rotation/advancement flap is derived from the septum, the nasal floor and lateral nasal wall while in the opposite nasal passage, bipedicled flaps from the septum and nasal floor and/or from the superior septum and under-surface of the upper lateral cartilage are created. Of the 43 patients included in this study, 40 had their perforation permanently closed, while three experienced a non-symptomatic recurrence. We conclude that the use of differently designed, mucoperichondrial or mucoperiosteal bilateral intranasal flaps with nonopposing suture lines, and interposition of Alloderm® or autogenous connective tissue with cartilage, especially with adequate exposure through an external approach, can lead to excellent results in the majority of cases.
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 59, Issue 8, August 2006, Pages 829–834