Haye R
Dept. of O.R.L., Rikshospitalet, Oslo, Norway.
Rhinology. 1989 Mar;27(1):11-5.
Septal perforations 4 mm or less in diameter have been successfully closed in eight out of ten patients with interposition of fascia temporalis. Larger perforations could, however, not be closed with this technique. Silicone buttons were helpful in half of the patients with perforations 5-20 mm. In larger ones they were not tolerated. With the vestibuloconchal flap technique perforations 7-20 mm were closed or markedly improved in four out of eight cases. Our conclusion is that small septal perforations should primarily be operated upon, whereas larger ones should initially be treated with silicone buttons. If uncomfortable, surgery may be successful. A preferred technique for larger perforations, however, cannot be recommended.
直径4毫米及以下的鼻中隔穿孔，在十名采用颞肌筋膜植入术的患者中有八名成功闭合。然而，较大的穿孔无法用这种技术闭合。硅胶纽扣对一半穿孔为5 - 20毫米的患者有帮助。对于更大的穿孔，患者无法耐受。采用前庭-鼻甲瓣技术，八例中有四例7 - 20毫米的穿孔得以闭合或明显改善。我们的结论是，较小的鼻中隔穿孔应首选手术治疗，而较大的穿孔应先用硅胶纽扣治疗。如果患者感到不适，手术可能会成功。然而，对于较大穿孔，无法推荐一种首选技术。
