Çomoğlu Şenol, Şahin Bayram, Polat Beldan, Aydemir Levent, Orhan Kadir Serkan
Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul Medical Faculty, University of Istanbul, Istanbul, Turkey.
J Craniofac Surg. 2016 May;27(3):e323-7. doi: 10.1097/SCS.0000000000002577.
Many surgical technique have been described for repair of nasal septal perforations with different success rates. This study aimed to describe authors' surgical technique and discuss its results as well as those reported in the literature.
Nineteen patients with nasal septal perforation were operated on between March 2009 and February 2015 at Istanbul University, Istanbul Medical Faculty. The technique described in this article, closure of the perforation with unilateral upper lateral cartilage inner mucoperichondrial flap and inferior meatal advancement flap is an alternative surgical technique.
Nineteen patients with symptomatic nasal septal perforation were operated with this technique. All surgical procedures were performed by the same surgeon. Neither intraoperative nor postoperative major complications were observed in any patients. Preoperative and postoperative symptom scores for nasal obstruction, epistaxis, nasal discharge, crusting, whistling, snoring, and olfactory loss as well as overall discomfort levels were compared using a visual analog scale. Complete closure of the perforation was achieved in 18 patients (95%).
Small and large perforations may be reliably closed with this technique. Also, this technique can be easily applied via closed or external approach.
已有多种手术技术用于鼻中隔穿孔修复，成功率各异。本研究旨在描述作者的手术技术，并讨论其结果以及文献报道的结果。
2009年3月至2015年2月期间，在伊斯坦布尔大学伊斯坦布尔医学院对19例鼻中隔穿孔患者进行了手术。本文所述技术，即采用单侧上外侧软骨内黏膜软骨膜瓣和下鼻道推进瓣关闭穿孔，是一种替代性手术技术。
19例有症状的鼻中隔穿孔患者接受了该技术手术。所有手术均由同一位外科医生进行。所有患者均未观察到术中及术后严重并发症。使用视觉模拟量表比较术前和术后鼻塞、鼻出血、鼻分泌物、结痂、吹哨音、打鼾和嗅觉丧失的症状评分以及总体不适程度。18例患者（95%）实现了穿孔的完全闭合。
该技术可可靠地闭合大小穿孔。此外，该技术可通过闭合或外部入路轻松应用。
