Skip to main content
Top
Published in: Aesthetic Plastic Surgery 6/2016

01-12-2016 | Case Report

Palatal Perforation as a Rare Complication of Nasal Septoplasty

Authors: Ioannis Tilaveridis, Ioanna Kalaitsidou, Athanasios Kyrgidis, Ioannis-Sofianos Astreidis

Published in: Aesthetic Plastic Surgery | Issue 6/2016

Login to get access

Abstract

Background

Nasal septoplasty is one of the most commonly performed surgical procedures by otolaryngologists or plastic surgeons and is generally performed to improve the quality of life. Although nasal surgeries are generally safe and effective procedures, various complications have been described in the literature.

Methods

In this article, we present a rare case of fracture of a part of the hard palate resulting in palatal perforation after nasal septoplasty surgery early diagnosed and successfully treated.

Results

Patient follow-up 1 year after oronasal closure revealed complete healing of the hard palate without the presence of fistula.

Conclusions

Palatal perforation during septoplasty is extremely rare and, even though it is not a life-threatening complication, has potentially annoying effects; according to its size, it can result in nasal speech, oral health problems, and nasal regurgitation of liquids and is sometimes related with reconstructive challenging problems.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the A5 online Instructions to Authors.www.​springer.​com/​00266.
Literature
1.
go back to reference D’Ascanio L, Manzini M (2009) Quick septoplasty: surgical technique and learning curve. Aesth Plast Surg 33:814–818CrossRef D’Ascanio L, Manzini M (2009) Quick septoplasty: surgical technique and learning curve. Aesth Plast Surg 33:814–818CrossRef
2.
go back to reference Siegel N, Gliklich R, Taghizadeh F, Chang Y (2000) Outcomes of septoplasty. Otolaryngol Head Neck Surg 122:228–232CrossRefPubMed Siegel N, Gliklich R, Taghizadeh F, Chang Y (2000) Outcomes of septoplasty. Otolaryngol Head Neck Surg 122:228–232CrossRefPubMed
3.
go back to reference Riederer A, Wilmes E (2010) A rare complication of septum surgery: internal carotid artery-cavernous sinus fistula. Laryngol Rhinol Otol (Stuttg) 66(11):583–585CrossRef Riederer A, Wilmes E (2010) A rare complication of septum surgery: internal carotid artery-cavernous sinus fistula. Laryngol Rhinol Otol (Stuttg) 66(11):583–585CrossRef
4.
go back to reference Eloy JA, Jacobson AS, Elahi E, Shonet MR (2006) Enophthalmos as a complication of rhinoplasty. Laryngoscope 116(6):1035–1038CrossRefPubMed Eloy JA, Jacobson AS, Elahi E, Shonet MR (2006) Enophthalmos as a complication of rhinoplasty. Laryngoscope 116(6):1035–1038CrossRefPubMed
5.
go back to reference Beigh Z, Yousuf A, Malik MA, Ahmad R (2012) Postoperative complications followed by septoplasty comparison between conventional nasal packing and glove finger pack. Clin Rhinol Int J 5(1):11–13CrossRef Beigh Z, Yousuf A, Malik MA, Ahmad R (2012) Postoperative complications followed by septoplasty comparison between conventional nasal packing and glove finger pack. Clin Rhinol Int J 5(1):11–13CrossRef
6.
go back to reference Ahmady Roozbahany N, Khajavi M, Abbaszadeh H (2015) Complication of conventional septoplasty. J Hear Sci Otolaryngol 1(1):1–4 Ahmady Roozbahany N, Khajavi M, Abbaszadeh H (2015) Complication of conventional septoplasty. J Hear Sci Otolaryngol 1(1):1–4
7.
go back to reference Topal O, Celik SB, Erbek S, Erbek SS (2011) Risk of nasal septal perforation following septoplasty in patients with allergic rhinitis. Eur Arch Otorhinolaryngol 268:231–233CrossRefPubMed Topal O, Celik SB, Erbek S, Erbek SS (2011) Risk of nasal septal perforation following septoplasty in patients with allergic rhinitis. Eur Arch Otorhinolaryngol 268:231–233CrossRefPubMed
8.
go back to reference Monteiro ML (2006) Unilateral blindness as a complication of nasal septoplasty: case report. Arq Bras Oftalmol 69(2):249–250CrossRefPubMed Monteiro ML (2006) Unilateral blindness as a complication of nasal septoplasty: case report. Arq Bras Oftalmol 69(2):249–250CrossRefPubMed
9.
go back to reference Milojevic M, Sotirovic J, Stosic S, Avramovic S (2014) Unilateral blindness following nasal septoplasty. B-ENT 10(2):161–164PubMed Milojevic M, Sotirovic J, Stosic S, Avramovic S (2014) Unilateral blindness following nasal septoplasty. B-ENT 10(2):161–164PubMed
10.
go back to reference Muhammad IA, Rahman Nabil-ur (2003) Complications of the surgery for deviated nasal septum. J Coll Physicians Surg Pak 13(10):565–568PubMed Muhammad IA, Rahman Nabil-ur (2003) Complications of the surgery for deviated nasal septum. J Coll Physicians Surg Pak 13(10):565–568PubMed
11.
go back to reference Ersoy B, Yilmaz S, Sirinoğlu H, Celebiler O, Numanoglu A (2010) A rare complication after septoplasty procedure in a misdiagnosed submucous cleft palate case: palatal fistula. J Plast Reconstr Aesthet Surg 63(8):1382–1384CrossRefPubMed Ersoy B, Yilmaz S, Sirinoğlu H, Celebiler O, Numanoglu A (2010) A rare complication after septoplasty procedure in a misdiagnosed submucous cleft palate case: palatal fistula. J Plast Reconstr Aesthet Surg 63(8):1382–1384CrossRefPubMed
12.
go back to reference Gökdemir O, Bal A (2014) Palatal perforation, the most rarely observed complication after deviated septum surgery. J Pak Med Assoc 64(11):1322–1323PubMed Gökdemir O, Bal A (2014) Palatal perforation, the most rarely observed complication after deviated septum surgery. J Pak Med Assoc 64(11):1322–1323PubMed
13.
go back to reference Kaya B, Aslan E, Çerkez C, Serel S (2015) Iatrogenic palatal perforation. Turk Plast Surg 23(2):88–89 Kaya B, Aslan E, Çerkez C, Serel S (2015) Iatrogenic palatal perforation. Turk Plast Surg 23(2):88–89
14.
go back to reference Balmor GR, Yarom N, Weitzen R (2012) Drug-induced palate osteonecrosis following nasal surgery. Isr Med Assoc J 14(3):193–194PubMed Balmor GR, Yarom N, Weitzen R (2012) Drug-induced palate osteonecrosis following nasal surgery. Isr Med Assoc J 14(3):193–194PubMed
15.
go back to reference Henningsson G, Isberg A (1987) Influence of palatal fistulae on speech and resonance. Folia Phoniatr (Basel) 39(4):183–191CrossRef Henningsson G, Isberg A (1987) Influence of palatal fistulae on speech and resonance. Folia Phoniatr (Basel) 39(4):183–191CrossRef
16.
go back to reference Arora S, Kaul D, Sayed A, Sheikh S, Pingal C (2015) Surgical management of oronasal fistula by using two different techniques (palatal rotational and labial advancement flap). Univ Res J Dent 5:140–144CrossRef Arora S, Kaul D, Sayed A, Sheikh S, Pingal C (2015) Surgical management of oronasal fistula by using two different techniques (palatal rotational and labial advancement flap). Univ Res J Dent 5:140–144CrossRef
17.
go back to reference Rahpeyma A, Khajehahmadi S (2015) A surgical technique for the management of suction cup-induced palatal perforation: a technical note. J Clin Diagn Res 9(7):ZD20PubMedPubMedCentral Rahpeyma A, Khajehahmadi S (2015) A surgical technique for the management of suction cup-induced palatal perforation: a technical note. J Clin Diagn Res 9(7):ZD20PubMedPubMedCentral
18.
go back to reference Fonseca Oliveira MT, Rodrigues Freire D, Zanetta-Barbosa D, Mambrini Furtado L, Dantas Batista J, Sargenti-Neto S (2011) Two-flap palatoplasty for treatment of oronasal fistula by trauma sequel. Minerva Stomatol 60:551–553PubMed Fonseca Oliveira MT, Rodrigues Freire D, Zanetta-Barbosa D, Mambrini Furtado L, Dantas Batista J, Sargenti-Neto S (2011) Two-flap palatoplasty for treatment of oronasal fistula by trauma sequel. Minerva Stomatol 60:551–553PubMed
19.
go back to reference Adam S, Sama H-D, Vourey G, Kpémissi E (2016) Iatrogenic palatal necrosis: what is your approach to treatment? Eur Ann Otorhinolaryngol Head Neck Dis 133(3):219–220CrossRefPubMed Adam S, Sama H-D, Vourey G, Kpémissi E (2016) Iatrogenic palatal necrosis: what is your approach to treatment? Eur Ann Otorhinolaryngol Head Neck Dis 133(3):219–220CrossRefPubMed
Metadata
Title
Palatal Perforation as a Rare Complication of Nasal Septoplasty
Authors
Ioannis Tilaveridis
Ioanna Kalaitsidou
Athanasios Kyrgidis
Ioannis-Sofianos Astreidis
Publication date
01-12-2016
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 6/2016
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-016-0693-y

Other articles of this Issue 6/2016

Aesthetic Plastic Surgery 6/2016 Go to the issue