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Innovative Surgical Techniques for Nasal Septal Perforations: Management and Treatment

  • Rhinosinusitis (J Mullol, Section Editor)
  • Published:
Current Allergy and Asthma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The aim of this study was to review and describe the main innovative surgical techniques for nasal septal perforation (NSP) repair that have been published in recent years.

Recent Findings

Several techniques for NSP repair have been developed recently. The anterior ethmoidal artery (AEA) flap is a versatile technique for middle-size perforations in different locations. The greater palatine artery (GPA) flap is an excellent option for anterior-most NSPs. The lateral nasal wall flap and the pericranial flap are the most appropriate techniques for large perforations.

Summary

The advent of these techniques has changed the management and has expanded the therapeutic arsenal to treat all types of NSPs according to the size, location, and osteo-cartilaginous support. However, no technique has been accepted as the gold standard. Extensive knowledge of different techniques is important to individualize the treatment, selecting the most appropriate in each case.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Rhinology and Skull Base Surgery Unit, Otorhinolaryngology Department, Ramón y Cajal University Hospital, Madrid, Spain

    Alfonso Santamaría-Gadea, Franklin Mariño-Sánchez & Beatriz Arana-Fernández

  2. Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain

    Franklin Mariño-Sánchez, Joaquim Mullol & Isam Alobid

  3. Rhinology and Skull Base Unit, Otorhinolaryngology Department, Hospital Clinic, Universitat de Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain

    Joaquim Mullol & Isam Alobid

  4. Centro Médico Teknon, Barcelona, Spain

    Isam Alobid

Authors
  1. Alfonso Santamaría-Gadea
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  2. Franklin Mariño-Sánchez
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  3. Beatriz Arana-Fernández
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  4. Joaquim Mullol
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  5. Isam Alobid
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Corresponding author

Correspondence to Isam Alobid.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Alfonso Santamaría-Gadea and Franklin Mariño-Sánchez share equal first author responsibilities

This article is part of the Topical Collection on Rhinosinusitis

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Santamaría-Gadea, A., Mariño-Sánchez, F., Arana-Fernández, B. et al. Innovative Surgical Techniques for Nasal Septal Perforations: Management and Treatment. Curr Allergy Asthma Rep 21, 17 (2021). https://doi.org/10.1007/s11882-021-00992-2

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  • DOI: https://doi.org/10.1007/s11882-021-00992-2

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