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European Archives of Oto-Rhino-Laryngology

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01-01-2019 | Rhinology

Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps

Authors: José Miguel Villacampa Aubá, Alvaro Sánchez Barrueco, Gonzalo Díaz Tapia, Jessica Mireya Santillán Coello, Diego Armando Escobar Montatixe, Fernando González Galán, Ignacio Mahillo Fernández, Rocío González Márquez, Carlos Cenjor Español

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2019

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.

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Title: Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps
Authors: José Miguel Villacampa Aubá
Alvaro Sánchez Barrueco
Gonzalo Díaz Tapia
Jessica Mireya Santillán Coello
Diego Armando Escobar Montatixe
Fernando González Galán
Ignacio Mahillo Fernández
Rocío González Márquez
Carlos Cenjor Español
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5169-z

At a glance: The STEP trials

Springer Medicine

Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps

Abstract

Background

Methodology/principal

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methodology/principal

Results

Conclusions

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