Eviatar A, Myssiorek D
Department of Otolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, NY.
Otolaryngol Head Neck Surg. 1989 Apr;100(4):300-2. doi: 10.1177/019459988910000409.
Indications for repair of nasal septum perforations include excessive crusting, recurrent bleeding, whistling, and pain. Large subtotal perforations usually are less symptomatic, but smaller defects (less than 1 cm) may need repair. Tragal cartilage with perichondrium autograft was used to repair these perforations. After the septal defect was debrided, this free graft was harvested and used to fill the defect. This technique was attempted in ten patients with septal perforations, none secondary to systemic illnesses. Nine of these patients had successful closure of their perforations.
鼻中隔穿孔修复的适应证包括结痂过多、反复出血、鼻鸣和疼痛。大部分较大的穿孔通常症状较轻，但较小的缺损（小于1厘米）可能需要修复。采用带软骨膜的耳屏软骨自体移植来修复这些穿孔。在对鼻中隔缺损进行清创后，获取该游离移植物并用于填充缺损。对10例鼻中隔穿孔患者尝试了这项技术，这些患者均无继发于全身性疾病的情况。其中9例患者的穿孔成功闭合。
