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Repair of nasal septal perforation using inferior turbinate graft

Published online by Cambridge University Press:  27 January 2011

Hesham A K A Mansour
Hesham A K A Mansour*
Affiliation:
Assistant Professor of Otorhinolaryngology, Cairo University, United Doctors Hospital, Jeddah, Saudi Arabia
*
Address for correspondence: Dr Hesham A Kader A Mansour, Assistant Professor of Otorhinolaryngology atCairo University, United Doctors Hospital, Jeddah 21458, P O Box 33692, Saudi Arabia E-mail: [email protected]
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Abstract

Objective:

Nasal septal perforation can cause troublesome symptoms. Surgical repair is indicated in symptomatic patients. Many approaches and techniques have been described, each with its advantages and indications.

Method:

The study included six patients with symptomatic nasal septal perforations sized 1–2.5 cm horizontally by 0.5–1.5 vertically. Patient symptoms included nasal crusts (all patients), nasal obstruction (five), cacosmia (three) and recurrent epistaxis (three). Patients underwent endonasal endoscopic repair using an inferior turbinate free graft applied between the mucoperichondrium of both septum sides. Follow up ranged from six months to two years.

Results:

Five patients (83 per cent) had complete perforation closure and one had partial closure. All patients were symptom-free post-operatively.

Conclusion:

This endoscopic endonasal approach, using an inferior turbinate free graft, is effective in closing small and medium-sized nasal septal perforations.

Keywords

Nasal SeptumTurbinatesEndoscopyPerforation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 5 , May 2011 , pp. 474 - 478
Copyright
Copyright © JLO (1984) Limited 2011

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