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Published in: European Archives of Oto-Rhino-Laryngology 8/2019

01-08-2019 | Incision | Review Article

Endoscopic approach for management of septal perforation

Author: Isam Alobid

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2019

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Abstract

Introduction

Septal perforation (SP) is a rather uncommondisorder and the most frequent aetiology of SP is nasal surgery, but they can also be secondary to drug abuse, inhaled substances, trauma, neoplasms, or inflammatory systemic diseases.

Discussion

Despite some asymptomatic presentations, the majority of SPs cause intermittent epistaxis, nasal obstruction, crusting, dryness, purulent discharge, and/or nasal whistling. Patients who have SP and mild symptoms usually require medical treatment such as nasal irrigations and ointments. Septal buttons may also be used in these patients. No gold standard technique has been recognized for the surgical management of SPs. The literature describes many methods of closure of SP. Many endoscopic techniques are available for septal repair, and the choice depends on the osteo-cartilaginous support, characteristics of the perforation (size, location) and the experience of the surgeon.

Conclusion

This article provides a meticulous review focusing on the endoscopic approaches to repair SP. Furthermore; educational drawings and tips and tricks are also discussed.
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Metadata
Title
Endoscopic approach for management of septal perforation
Author
Isam Alobid
Publication date
01-08-2019
Publisher
Springer Berlin Heidelberg
Keyword
Incision
Published in
European Archives of Oto-Rhino-Laryngology / Issue 8/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05490-w

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