Abstract
Background
Nasal septoplasty is one of the most commonly performed surgical procedures by otolaryngologists or plastic surgeons and is generally performed to improve the quality of life. Although nasal surgeries are generally safe and effective procedures, various complications have been described in the literature.
Methods
In this article, we present a rare case of fracture of a part of the hard palate resulting in palatal perforation after nasal septoplasty surgery early diagnosed and successfully treated.
Results
Patient follow-up 1 year after oronasal closure revealed complete healing of the hard palate without the presence of fistula.
Conclusions
Palatal perforation during septoplasty is extremely rare and, even though it is not a life-threatening complication, has potentially annoying effects; according to its size, it can result in nasal speech, oral health problems, and nasal regurgitation of liquids and is sometimes related with reconstructive challenging problems.
Level of Evidence V
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References
D’Ascanio L, Manzini M (2009) Quick septoplasty: surgical technique and learning curve. Aesth Plast Surg 33:814–818
Siegel N, Gliklich R, Taghizadeh F, Chang Y (2000) Outcomes of septoplasty. Otolaryngol Head Neck Surg 122:228–232
Riederer A, Wilmes E (2010) A rare complication of septum surgery: internal carotid artery-cavernous sinus fistula. Laryngol Rhinol Otol (Stuttg) 66(11):583–585
Eloy JA, Jacobson AS, Elahi E, Shonet MR (2006) Enophthalmos as a complication of rhinoplasty. Laryngoscope 116(6):1035–1038
Beigh Z, Yousuf A, Malik MA, Ahmad R (2012) Postoperative complications followed by septoplasty comparison between conventional nasal packing and glove finger pack. Clin Rhinol Int J 5(1):11–13
Ahmady Roozbahany N, Khajavi M, Abbaszadeh H (2015) Complication of conventional septoplasty. J Hear Sci Otolaryngol 1(1):1–4
Topal O, Celik SB, Erbek S, Erbek SS (2011) Risk of nasal septal perforation following septoplasty in patients with allergic rhinitis. Eur Arch Otorhinolaryngol 268:231–233
Monteiro ML (2006) Unilateral blindness as a complication of nasal septoplasty: case report. Arq Bras Oftalmol 69(2):249–250
Milojevic M, Sotirovic J, Stosic S, Avramovic S (2014) Unilateral blindness following nasal septoplasty. B-ENT 10(2):161–164
Muhammad IA, Rahman Nabil-ur (2003) Complications of the surgery for deviated nasal septum. J Coll Physicians Surg Pak 13(10):565–568
Ersoy B, Yilmaz S, Sirinoğlu H, Celebiler O, Numanoglu A (2010) A rare complication after septoplasty procedure in a misdiagnosed submucous cleft palate case: palatal fistula. J Plast Reconstr Aesthet Surg 63(8):1382–1384
Gökdemir O, Bal A (2014) Palatal perforation, the most rarely observed complication after deviated septum surgery. J Pak Med Assoc 64(11):1322–1323
Kaya B, Aslan E, Çerkez C, Serel S (2015) Iatrogenic palatal perforation. Turk Plast Surg 23(2):88–89
Balmor GR, Yarom N, Weitzen R (2012) Drug-induced palate osteonecrosis following nasal surgery. Isr Med Assoc J 14(3):193–194
Henningsson G, Isberg A (1987) Influence of palatal fistulae on speech and resonance. Folia Phoniatr (Basel) 39(4):183–191
Arora S, Kaul D, Sayed A, Sheikh S, Pingal C (2015) Surgical management of oronasal fistula by using two different techniques (palatal rotational and labial advancement flap). Univ Res J Dent 5:140–144
Rahpeyma A, Khajehahmadi S (2015) A surgical technique for the management of suction cup-induced palatal perforation: a technical note. J Clin Diagn Res 9(7):ZD20
Fonseca Oliveira MT, Rodrigues Freire D, Zanetta-Barbosa D, Mambrini Furtado L, Dantas Batista J, Sargenti-Neto S (2011) Two-flap palatoplasty for treatment of oronasal fistula by trauma sequel. Minerva Stomatol 60:551–553
Adam S, Sama H-D, Vourey G, Kpémissi E (2016) Iatrogenic palatal necrosis: what is your approach to treatment? Eur Ann Otorhinolaryngol Head Neck Dis 133(3):219–220
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Tilaveridis, I., Kalaitsidou, I., Kyrgidis, A. et al. Palatal Perforation as a Rare Complication of Nasal Septoplasty. Aesth Plast Surg 40, 850–853 (2016). https://doi.org/10.1007/s00266-016-0693-y
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DOI: https://doi.org/10.1007/s00266-016-0693-y