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Surgical closure of nasal septal perforation using mucosal flaps and interposed graft: a case series of 154 patients and literature review

Published online by Cambridge University Press:  25 November 2021

E G Heywood ,
M Daoud ,
A Talawdekar ,
N Ashraf  and
U Raghavan
E G Heywood
Affiliation:
Department of ENT and Facial Plastic Surgery, Doncaster and Bassetlaw NHS Foundation Trust
M Daoud*
Affiliation:
Department of ENT and Facial Plastic Surgery, Doncaster and Bassetlaw NHS Foundation Trust
A Talawdekar
Affiliation:
Department of ENT and Facial Plastic Surgery, Doncaster and Bassetlaw NHS Foundation Trust
N Ashraf
Affiliation:
Department of ENT and Facial Plastic Surgery, University Hospital of Derby and Burton NHS Foundation Trust, UK
U Raghavan
Affiliation:
Department of ENT and Facial Plastic Surgery, Doncaster and Bassetlaw NHS Foundation Trust
*
Author for correspondence: Dr M Daoud, Department of ENT and Facial Plastic Surgery, Doncaster Royal Infirmary, Thorne Road, Doncaster DN2 5LT, UK E-mail: [email protected]
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Abstract

Background

Nasal septal perforations are defects of the septum. Symptomatic patients failing conservative measures may be considered for surgery; however, the surgery is challenging. This study describes a technique involving mucosal advancement flaps and autologous or acellular porcine interposition grafts and assessed the long-term closure rate and symptom control.

Method

This study looked at patients with symptomatic septal perforations who underwent surgery between 2005 and 2017. Symptoms were assessed pre- and post-operatively using a visual analogue scale. A literature search was performed for septal perforation repair techniques and outcomes.

Results

A total of 95 per cent of patients had complete closure of their septal perforations, 90 per cent had complete symptom control. There were statistically significant differences between the pre- and post-operative mean visual analogue scale score for epistaxis (p < 0.001), crusting (p < 0.001), whistling (p < 0.001) and nasal obstruction (p < 0.001).

Conclusion

Surgical closure of nasal septal perforations with mucosal advancement flaps and an interposition graft is a reliable technique with excellent long-term outcomes.

Keywords

Nasal SeptumNasal Septal PerforationRhinoplasty
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 10
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Daoud takes responsibility for the integrity of the content of the paper

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