Abstract
The purpose of this study is to present a new approach for treatment of nasal septal perforation using middle turbinate flap. A consecutive study with follow-up of 31 patients with nasal septal perforation treated using middle turbinate flap. All patients underwent an endoscopic repair of nasal septal perforation using middle turbinate flap. All patients were followed for 18–24 months. Complete closure of the perforation was achieved in 29 of the 31 patients. Complete failure of the repair was observed in two patients. All patients showed nasal crusting in varying degrees for a period of 2–4 weeks. None of the patients showed nasal obstruction or atrophic rhinitis symptoms (stuffy nose, purulent postnasal drip, nasal crusting, epistaxis and anosmia) in postoperative follow-up. This technique provides a new method with many advantages compared to other techniques for closure of septal perforations.
Level of evidence
IV.
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References
Ohlsen L (1988) Closure of nasal septal perforation with a cutaneous flap and a perichondrocutaneous graft. Ann Plastic Surg 21:276–288
Lanier B, Kai G, Marple B et al (2007) Pathophysiology and progression of nasal septal perforation. Ann Allergy Asthma Immnol 99:473–479
Dosen LK, Haye R (2007) Nasal septal perforation 1981–2005: changes in etiology, gender and size. BMC Ear Nose Throat Disord 7:1–4
ChF. Septal perforations: medical aspects. E- medicine. Available at: http://www.emedicine.com/ent/topic704.htm. Accessed 13 Nov 2003
Goh AY, Hussain SS (2007) Different surgical treatment for nasal septal perforation and their outcomes. J Laryngol Otol 121:419–426
La Rosa R, Fibbi A, Staffieri A(1999) Chirurgia funzionale ed estetica del naso.Bologna: planning Congressi Ed: p 395–412
Romo T, Toffel PH (1998) Nasal septal perforation. In: Gates GA (ed) Current therapy in otolaryngology head and neck surgery. Mosby, St. Louis, pp 339–344
Younger R, Blookmanis A (1985) Nasal septal perforations. J Otolaryngol 14:126–131
Schultz-Coulon HJ (1994) Experiences with the bridge-flap technique for the repair of large nasal septal perforations. Rhinology 32:25–33
Mladina R, Heinzel B (1995) "Cross-stealing" technique for septal perforation closure. Rhinology 33:174–176
Woolford TJ, Jones NS (2001) Repair of nasal septal perforations using local mucosal flaps and a composite cartilage graft. J. Laryngol 115:22–25
Kilty SJ, Brownrigg PJ, Safar A (2007) Nasal septal perforation repair using an inferior turbunate flap. J Otolaryngol 36:38–42
Watson D, Barkdull G (2009) Surgical manangement of the septal perforation. Review Otolaryngol Clin North Am 42:483–493
Kridel RWH, Foda H, Lunde K (1998) Septal perforation repair with acellular human dermal allograft. Arch Otolaryngol Head Neck Surg 124:73–78
Arnstein DP, Berke GS (1989) Surgical considerations in the open rhinoplasty approach to closure septal perforations. Arch Otolaryngol Head Neck Surg 115(4):435–438
Goodman WS, Strelkzow VV (1982) The surgicalclosure of nasoseptal perforations. Laryngoscope 92:121–124
Romo T III, Foster CA, Korovin GS et al (1988) Repair of nasal septal perforation utilizing the midface degloving technique. Arch Otolaryngol Head Neck Surg 114(7):739–742
Nunez-Fernandez D, Vokurka J, Chrobok V (1998) Bone and temporal fascia graft fort he closure of septal perforation. J Laryngol Otol 122:1167–1171
Fairbanks DNF (1994) Nasal septal perforation repair: a 25-year experience with the flap and graft technique. Am J Cosm Surg 11:189–194
Meghachi AS, Jankowski R, Vedrine PO et al (2004) Endoskopic closure of septal perforations by mucosal rotationflaps. Ann Otolaryngol Chir Cervicofac 121(4):222–228
Ayshforf CA, Shykhon M, Uppal HS et al (2003) Endoscopic repair of nasal septal perforation with acellular human dermal allograft and an inferior turbinate flap. Clin Otolaryngol Allied Sci 28(1):29–33
Hier MP, Yoskovitch A, Panje WR (2002) Endoscopic repair of a nasal septal perforation. J Otolaryngol 31(5):323–333
Zhang Q, Zhang J, Li S (2003) Endoscope assisted repair of large nasal septal perforation using a complex mucoperichondrial flap and free tissue graft. Clin Med J 116(1):157–158
Andre RF, Lohuis PJ, Vuyk HD (2006) Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines. J Plast Reconstr Aesthet Surg 59:829–834
Kridel RWH (2004) Consideration in the etiology, treatment, and repair of septal perforations. Facial Plast Surg Cln North Am 12:435–450
Eng SP, Nilssen ELK, Ranta M et al (2001) Surgical management of septal perforation:an alternative to closure of perforation. J Laryngol Otol 115:194–197
Romo T III, Jablonski RD, Shapiro AL et al (1995) Long- term nasal mucosal tissue expansion use in repair of large nasoseptal perforations. Arch otolaryngol head and Neck Surg 121:317–321
Mobley SR, Boys JB, Astor FC (2001) Repair of a large septal perforation with a radial forearm flap:brief report of a case. Ear Nose Throat J 80(8):512
Tardy ME Jr (1977) Practical suggestion on facial plastic surgery--how to do it. Sublabial mucosal flap: repair of septal perforations. Laryngoscope 87(2):275–278
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Hanci, D., Altun, H. Repair of nasal septal perforation using middle turbinate flap (monopedicled superiory based bone included conchal flap): a new unilateral middle turbinate mucosal flap technique. Eur Arch Otorhinolaryngol 272, 1707–1712 (2015). https://doi.org/10.1007/s00405-014-3266-1
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DOI: https://doi.org/10.1007/s00405-014-3266-1