Al Kadah B, Tengg S, Deimann J, Schneider M, Schick B
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum des Saarlandes, Homburg/Saar.
Laryngorhinootologie. 2012 Nov;91(11):694-8. doi: 10.1055/s-0032-1323768. Epub 2012 Oct 15.
Individual septal buttons have gained more attention during the last years. However, experiences in patients being treated by an individual septal button are limited. Therefore, further evaluation of this treatment option is needed.
Records of 64 patients being treated by an individual septal button were evaluated retrospectively. As the silicon prints of the septum perforation were available size of the septal perforation were measured. Telephone interview were used to ask the patients about their general judgement and eff ect of the septal button on their different complaints.
Septumplasty in 42 patients and a trauma in 10 patients had been documented prior to treatment. In 7 patients Wegner's granulomatosis had been proven by serological and histopathological analysis. Digital manipulation and nasal drop abuses were judged to be the reason of the septal perforation in 2 patients each. In one patient the etiology remained unknown. Size of the septal perforation ranged from 7.4 to 807 mm(2). Using visual analog scale 42 patients reported to be highly satisfied. A statistically significant improvement was reported for all symptoms. Respiratory noise and nasal obstruction were improved best followed by nasal bleeding, pain and crust formation.
Treatment of septal perforations with individual septal buttons should be considered in treating septal perforations. Nasal obstruction and nasal bleeding were found to be improved best by this treatment option.
在过去几年中，个体化鼻中隔纽扣受到了更多关注。然而，接受个体化鼻中隔纽扣治疗的患者经验有限。因此，需要对这种治疗选择进行进一步评估。
回顾性评估64例接受个体化鼻中隔纽扣治疗的患者记录。由于有鼻中隔穿孔的硅印模，测量了鼻中隔穿孔的大小。通过电话访谈询问患者关于他们的总体评价以及鼻中隔纽扣对其不同症状的影响。
42例患者有鼻中隔成形术记录，10例患者有外伤史。7例患者经血清学和组织病理学分析证实患有韦格纳肉芽肿。分别有2例患者被判定鼻中隔穿孔的原因是手指操作和滥用滴鼻剂。1例患者病因不明。鼻中隔穿孔大小在7.4至807平方毫米之间。使用视觉模拟量表，42例患者报告高度满意。所有症状均有统计学上的显著改善。呼吸杂音和鼻塞改善最佳，其次是鼻出血、疼痛和结痂。
在治疗鼻中隔穿孔时应考虑使用个体化鼻中隔纽扣。发现这种治疗选择对鼻塞和鼻出血改善最佳。
