Long Term Outcomes of Nasoseptal Perforation Repair With an Anterior Ethmoidal Artery Flap.
Am J Rhinol Allergy
; 36(1): 18-24, 2022 Jan.
Article
em En
| MEDLINE
| ID: mdl-33878936
ABSTRACT
BACKGROUND:
Nasoseptal perforation repair is a challenging condition with no standard technique for repair recognized.METHODS:
A case series of consecutive patients who underwent nasoseptal perforation repair with an anterior ethmoidal artery flap was conducted. Demographic data, preoperative features of the perforation and postoperative outcomes were analyzed. Closure rate, complications and persistence of nasal symptoms were documented.RESULTS:
Thirty-two patients were included in the study. The average perforation diameter was 1.48 cm (range 0.4-3 cm). Iatrogenic trauma was the most common cause (56% of patients). Nine cases ended up being idiopathic. The overall closure rate was 81%, but 87.5% when perforation had a 2-cm diameter or less. Of the six failures, 2 were due to flap necrosis and 4 to a residual anterior perforation. Despite the persistence, 2 patients solved their symptoms. One patient underwent revision surgery.CONCLUSION:
The anterior ethmoidal artery flap is a reliable and minimal invasive technique for closure of symptomatic perforations. For defects larger than 2 cm, a lower success rate and additional reconstructive measures should be considered. Objective questionnaires are needed in order to evaluate functional outcomes.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos de Cirurgia Plástica
/
Perfuração do Septo Nasal
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article