Introduction Patients with septal perforation often complain of discomfort such as recurrent epistaxis, nasal debris, breathing noises and obstruction. The cause of this functional restriction is mostly iatrogenic after septal surgery, substance abuse or trauma and manipulation. The current surgical gold standard is the use of mucosal shift flaps. This is complex to carry out and involves a variety of limitations for the patient.
Material and Methods Based on a case series of 25 patients we present a new surgical therapy for the successful closure of a septal perforation. Temporalis fascia and conchal cartilage are used to create a composite graft which closes the perforation. Access is obtained via a classical intramucosal incision as used performing a septoplasty. For 8-10 weeks transseptally fixed silicone sheets remain in the nose to create a moist cavity. During this time epithelization of the graft occurs.
Summary This closure technique which we present here shows a high degree of success with low complexity and at the same time low morbidity and limitation for the patient.
Poster-PDF
A-2016.PDF
