Federspil P A, Schneider M
Univ.-Hals-Nasen-Ohrenklinik, Heidelberg.
Laryngorhinootologie. 2006 May;85(5):323-5. doi: 10.1055/s-2006-941635.
Septal defects only warrant therapy when symptomatic. If surgical closure is not requested, the defect may be closed by a septal button. Prefabricated buttons are not an option for all sizes of defects. Moreover, they may even increase the size of the perforation. The problem can be elegantly solved by a custom made septal button, which minimizes the button's movements within the defect. With the aid of an intranasal cast, a silicone button is individually fabricated. From 1997 through 2004, 57 patients aged 19-85 years were treated by a custom made septal button. At the time of follow-up, 75% of patients still had the button in situ, and they were most satisfied with subjective all over improvement by 83% (+/-20%) on a visual analogue scale. Main symptoms improved significantly (p<0.05). Even though not all patients can be satisfactorily treated, we believe the custom made septal button to be an alternative if there are contraindications to surgery or in case of patient refusal.
只有出现症状时，房间隔缺损才需要治疗。如果不要求进行手术闭合，缺损可用房间隔纽扣封堵。预制纽扣并不适用于所有大小的缺损。此外，它们甚至可能会扩大穿孔的尺寸。定制的房间隔纽扣可以很好地解决这个问题，它能将纽扣在缺损内的移动减到最小。借助鼻内铸型，可单独制作硅胶纽扣。从1997年到2004年，57例年龄在19至85岁的患者接受了定制房间隔纽扣治疗。在随访时，75%的患者纽扣仍在原位，他们对主观整体改善最为满意，视觉模拟量表评分为83%（±20%）。主要症状有显著改善（p<0.05）。尽管并非所有患者都能得到满意治疗，但我们认为，如果存在手术禁忌或患者拒绝手术，定制房间隔纽扣是一种替代方法。
