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Facial Plast Surg 2022; 38(05): 504-508
DOI: 10.1055/s-0041-1739124
Original Research

Nasal Septal Perforation Closure by “Sandwich Grafts”: Technique, Initial Results

Mattis Bertlich
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
,
Friedrich Ihler
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
,
Maya Bertlich
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
,
Mark Jakob
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
,
Martin Canis
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
,
Frank Haubner
1   Department of Otorhinolaryngology, University Hospital, LMU Munich, Marchioninistr. Munich, Germany
› Author Affiliations Funding The entire study was funded by the Department of Otorhinolaryngology, Head and Neck Surgery.
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Abstract

Nasal septal perforation closure represents a considerable surgical challenge. Many techniques rely on the implantation of foreign materials that pose a persisting threat of infection. The authors have identified a reliable technique closing septal perforations by an autologous “sandwich graft.” It is layered around a piece of auricular cartilage, covered with temporal fascia, thus emulating the physiological layers of the nasal septum. Finally, the prepared graft is then sewn into the perforation in an underlay technique and kept in place by septal splints for 4 weeks. The technique is easily feasible and strives to reconstruct the nasal as physiological as possible. The data obtained from a case series of 11 patients highlights the efficacy of the technique.

Keywords

septal perforation - auricular cartilage - rhinoplasty - temporalis fascia - underlay

Ethics Approval and Consent to Participate

The study at hand was registered with the appropriate authorities (Ethikkommission der LMU München) under the file number 20–841.


Dataset

The authors of this manuscript declare that the data at hand have not been published, submitted, or used in any other manuscript elsewhere. The anonymized dataset without gender and age data are available upon request from the corresponding author.


Consent for Publication

All authors have read the final version of the manuscript and agree with its publication


Availability of Data and Material

The original, anonymous dataset is available upon request from the corresponding author.


Authors' Contributions

MB, FI, MB, MC, MJ, and FH conceptualized the project. MB and FH organized the project. MB, MJ, and FH executed the project. MB designed and executed the analysis. MB, FI, MB, MC, MJ, and FH were involved in review and critique of the analysis.


MB wrote the manuscript. FI, MB, MC, MJ, and FH were involved in review and critique of the manuscript.


Supplementary Material



Publication History

Article published online:
23 November 2021

© 2022. Thieme. All rights reserved.

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