Ceylan Alper, Ileri Fikret, Celenk Fatih, Yilmaz Metin, Uslu Sabri
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey.
ORL J Otorhinolaryngol Relat Spec. 2007;69(4):245-50. doi: 10.1159/000101546. Epub 2007 Apr 4.
Treatment of nasal septal perforations which decrease quality of life is a surgical challenge with variable success rates. Numerous surgical methods have been proposed for closure of perforations. The technique described in this article, i.e. closure of the perforation with an upper lateral cartilage mucoperichondrial flap through an external septorhinoplasty approach, is an alternative surgical technique. Twenty-four patients with symptomatic nasal septal perforation were operated on using this technique and followed up for a mean duration of 28 months. Preoperative and postoperative symptom scores for crusting, nasal obstruction, bleeding, discharge, whistling, headache, nasal pain, snoring and olfactory loss as well as overall discomfort levels were compared using a visual analogue scale. Complete closure of the perforation was achieved in 19 patients.
治疗会降低生活质量的鼻中隔穿孔是一项手术挑战，成功率各异。已经提出了许多用于闭合穿孔的手术方法。本文所描述的技术，即通过鼻外鼻中隔成形术入路，用上外侧软骨黏膜软骨膜瓣闭合穿孔，是一种替代性手术技术。24例有症状的鼻中隔穿孔患者采用该技术进行手术，并进行了平均28个月的随访。使用视觉模拟量表比较术前和术后结痂、鼻塞、出血、流涕、鼻鸣、头痛、鼻痛、打鼾和嗅觉丧失的症状评分以及总体不适程度。19例患者实现了穿孔的完全闭合。
