Department of Otolaryngology, Head and Neck Surgery, Philipp University, Marburg, Germany.
Am J Rhinol Allergy. 2011 May-Jun;25(3):193-7. doi: 10.2500/ajra.2011.25.3603.
The surgical closure of nasal septal perforation is still an unsolved clinical problem. In this study the experiences with a novel surgical technique for closure of large perforations of the nasal septum are presented.
A total of 55 patients with symptomatic nasal septal perforation measuring 23 ± 3 mm (range, 11-38 mm) at the widest point were enrolled in the study. The closure of the nasal septal perforation was performed with a new and simple surgical technique using a nasal mucosal flap consisting of the defect-corresponding mucosa of the floor of the nose, inferior nasal meatus, and inferior turbinate.
A symptomatic improvement of nasal symptoms was noted in all treated patients. In only 3 of 55 cases was the perforation closing incomplete.
Our experience with this flap shows its reliability and safety in repairing large nasal septal perforations, with many advantages compared with other techniques for septal perforation repair.
鼻中隔穿孔的手术修复仍然是一个尚未解决的临床问题。本研究介绍了一种新型的鼻中隔大穿孔修复手术技术的经验。
共有 55 例有症状的鼻中隔穿孔患者纳入本研究，这些患者的鼻中隔穿孔最宽处为 23 ± 3 mm（范围为 11-38 mm）。使用一种新的简单手术技术，用包括鼻中隔底部、下鼻道和下鼻甲相应缺损黏膜的鼻中隔黏膜瓣来修复鼻中隔穿孔。
所有接受治疗的患者的鼻部症状均有明显改善。在 55 例患者中，仅 3 例存在穿孔闭合不完全。
我们使用这种皮瓣的经验表明，它在修复大的鼻中隔穿孔时具有可靠性和安全性，与其他鼻中隔穿孔修复技术相比具有许多优势。
