Closure of Nasal Septal Perforations Using a Diced Cartilage in Fascia Graft

Spatz, Cornelia and Kuehnel, Thomas and Stegmann, Achim and Schwan, Franziska and Bumm, Klaus and Bohr, Christopher (2023) Closure of Nasal Septal Perforations Using a Diced Cartilage in Fascia Graft. FACIAL PLASTIC SURGERY. ISSN 0736-6825, 1098-8793

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Abstract

The spectrum of surgical techniques in the repair of nasal septal defects is wide. The objective of this study was to assess the feasibility of using a diced cartilage in fascia (DC-F) graft for successful closure of nasal septal perforations and to evaluate symptom reduction. This was a retrospective study of 18 patients undergoing surgical repair of symptomatic nasoseptal perforations of different etiologies using a DC-F graft from 2020 until 2021. The procedure was feasible in all of the 18 patients. Reconstruction of septal defects with a DC-F graft led to reduction of crust formation, reduction of epistaxis, and improvement of nasal breathing in 13 out of the 18 patients when seen for their 2-month follow-up. Reperforation occurred in three cases, leaving defects of 1, 7, and 5 mm in diameter. In one case, the reperforation was symptomatic. A DC-F graft proved to be a reliable and reproducible method for the closure of nasoseptal perforations of variable sizes, of different locations, and of different etiologies.

Item Type: Article
Uncontrolled Keywords: DORSAL AUGMENTATION; SURGICAL CLOSURE; REPAIR; TEMPOROPARIETAL; RHINOPLASTY; FLAP; costal cartilage; nasal septal perforations; rhinologic procedures; diced cartilage; fascia graft
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Feb 2024 07:24
Last Modified: 28 Feb 2024 07:24
URI: https://pred.uni-regensburg.de/id/eprint/59160

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