Stoor Patricia, Grénman Reidar
Department of Maxillofacial Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Ann Otol Rhinol Laryngol. 2004 Aug;113(8):655-61. doi: 10.1177/000348940411300811.
Interpositional grafts between mucoperiosteal flaps are commonly used in the repair of septal perforations. We studied the use of bioactive glass (BAG) S53P4 as an interpositional graft and the use of turbinate flaps in 23 patients with septal perforations. Another 16 patients were treated with mucoperiosteal flaps only. The perforations were successfully closed in 38 of the 39 patients. One patient had a near-total septal perforation due to hypophysial surgery; it could not be closed. No extrusions of the BAG and no BAG-associated infections were seen; the average follow-up period was 28 months. BAG S53P4 seems to be a good interpositional graft in the repair of medium and large nasal septal perforations, and turbinate flaps are also reliable.
粘膜骨膜瓣间置移植常用于鼻中隔穿孔的修复。我们研究了生物活性玻璃（BAG）S53P4作为间置移植物的应用以及23例鼻中隔穿孔患者中鼻甲瓣的应用。另外16例患者仅采用粘膜骨膜瓣治疗。39例患者中有38例穿孔成功闭合。1例因垂体手术导致几乎完全鼻中隔穿孔，无法闭合。未观察到BAG挤出和BAG相关感染；平均随访期为28个月。BAG S53P4似乎是修复中大型鼻中隔穿孔的良好间置移植物，中鼻甲瓣也很可靠。
