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Outcomes of Septal Perforation Repair With Concurrent Endoscopic Sinus Surgery.
Abdel-Aty, Yassmeen; Cain, Rachel B; Taylor, Cullen; Marino, Michael J; Lal, Devyani; Bansberg, Stephen F.
Afiliação
  • Abdel-Aty Y; Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
  • Cain RB; Southwestern Colorado Ear, Nose, and Throat Associates, Durango, Colorado, USA.
  • Taylor C; Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
  • Marino MJ; Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
  • Lal D; Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
  • Bansberg SF; Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Otolaryngol Head Neck Surg ; 165(2): 370-374, 2021 08.
Article em En | MEDLINE | ID: mdl-33494646
OBJECTIVE: This study reviews a cohort of patients in whom septal perforation repair was performed concurrently with endoscopic sinus surgery. We present an endonasal perforation repair technique using bilateral mucosal flaps with an autogenous interposition graft. Intraoperative and postoperative management of the combined surgical patient is discussed and perforation closure outcomes are reported. STUDY DESIGN: Case series. SETTING: Tertiary care center. METHODS: In this institutional review board-approved retrospective chart review, adult patients who underwent concurrent bilateral mucosal flap septal perforation repair and endoscopic sinus surgery from March 1992 to March 2020 were identified. Data on demographics, clinical presentations, perforation size, surgical techniques, and outcomes were extracted and analyzed for patients with a minimum of 3 months of follow-up. RESULTS: Fifty-six patients met study inclusion criteria. Nasal obstruction/congestion was the most frequent symptom reported (80.4%), followed by crusting and epistaxis. Mean perforation size measured at the time of surgery was 14.7 (range, 3-41) mm in length by 9.3 (range, 2-23) mm in height. Temporalis fascia was the most frequent (57.9%) interposition graft material used. Complete perforation closure at the time of the last follow-up was noted in 51 (91.1%) patients. Only 1 failure was noted in the last 48 attempted repairs. CONCLUSION: Patients with a perforated septum may have coexistent chronic sinusitis. The feasibility of attempting concurrent sinus surgery and perforation repair has been questioned. Our review demonstrates a high perforation closure rate when a bilateral mucosal flap procedure is performed after sinus surgery is performed at the same setting.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rinoplastia / Endoscopia / Perfuração do Septo Nasal Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Otolaryngol Head Neck Surg Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Rinoplastia / Endoscopia / Perfuração do Septo Nasal Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Otolaryngol Head Neck Surg Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos