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European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 1, pp 101–106 | Cite as

Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps

  • José Miguel Villacampa Aubá
  • Alvaro Sánchez BarruecoEmail author
  • Gonzalo Díaz Tapia
  • Jessica Mireya Santillán Coello
  • Diego Armando Escobar Montatixe
  • Fernando González Galán
  • Ignacio Mahillo Fernández
  • Rocío González Márquez
  • Carlos Cenjor Español
Rhinology
  • 78 Downloads

Abstract

Background

Septal perforations consist in an anatomic defect of the mucosal, cartilaginous and/or bone tissues of the nasal septum. A huge variety of approaches and techniques for nasal perforation repair have been reported.

Methodology/principal

Between January 2008 and January 2017, 38 patients were treated for nasal septal perforation in Department of Otorhinolaryngology Head and Neck Surgery, Fundación Jiménez Díaz University Hospital, Madrid, Spain. A novel approach is presented based on microscope. Septal perforation closure was performed with endonasal bilateral advancement flaps-established technique and autologous cartilage and muscle temporal fascia grafts. We performed a retrospective review of closure rates and complications.

Results

A postoperative follow-up of at least 12 months was performed in 37 patients. The mean size of perforation was 1.33 cm. After the withdrawal of the silicone splints, perforations were completely closed in all cases. However, during the follow-up, four patients resulted in a reperforation, so our closure rate was 89.19%. For all cases, symptoms related to septal defect were solved. Only one case was reported of local infections that was resolved with antibiotics in a few days.

Conclusions

Microscopic approach of septal perforation closure using bilateral advancement flaps can be an affordable technique with a high percent of success and low rate of complications.

Keywords

Perforation Septum Surgery Flap Microscope 

Notes

Acknowledgements

Authors want to specially acknowledge labour of all the ENT department personnel, including residents and nurses, for their altruistic help during the development of this study.

Compliance with ethical standards

Conflict of interest

Authors declare no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 151124 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.ENT and Cervicofacial Surgery DepartmentFundación Jiménez Díaz University HospitalMadridSpain
  2. 2.Department of Statistics and EpidemiologyIIS Fundación Jimenez DíazMadridSpain

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