Cassano Michele
Department of Otorhinolaryngology, University of Foggia, Italy
Otolaryngol Head Neck Surg. 2014 Jul;151(1):176-8. doi: 10.1177/0194599814528465. Epub 2014 Mar 31.
The aim of this study is to report our new endoscopic technique for the repair of nasal septal perforations, called the "slide and patch" technique because it combines a mucoperiosteal free graft of the inferior turbinate with a mucosal rotational or advancement flap from the nasal septum.
Twenty-two patients with symptomatic septal nasal perforation of various sizes underwent our method of repair.
At the last follow-up, 21 (95.4%) perforations were closed. There was a partial closure in only 1 patient with a large perforation (3.5 cm in diameter). After surgery, 19 (86.3%) patients were asymptomatic, 2 (9%) showed persistence of crusting, and 1 (4.5%) showed the appearance of nasal obstruction 1 month postoperatively.
The method described herein has shown to be effective in nasal septal perforation repair and in nasal symptoms relief with the advantage of not requiring grafts from outside the nose.
本研究的目的是报告我们用于修复鼻中隔穿孔的新内镜技术，称为“滑动与补片”技术，因为它将下鼻甲的黏骨膜游离移植物与鼻中隔的黏膜旋转或推进瓣相结合。
22例有症状的不同大小鼻中隔穿孔患者接受了我们的修复方法。
在最后一次随访时，21例（95.4%）穿孔闭合。仅1例大穿孔（直径3.5厘米）患者出现部分闭合。术后，19例（86.3%）患者无症状，2例（9%）仍有结痂，1例（4.5%）术后1个月出现鼻塞。
本文所述方法已证明在鼻中隔穿孔修复及缓解鼻部症状方面有效，且具有无需取自鼻外移植物的优点。
