Cassano M
Department of Otorhinolaryngology, University of Foggia, Italy.
Acta Otorhinolaryngol Ital. 2017 Dec;37(6):486-492. doi: 10.14639/0392-100X-1313.
Surgical closure of nasal septal perforation is one of the most challenging procedures in nasal surgery. During the last decade, many endoscopic repair techniques have been described with a success of post-operative repair between 76.4% and 100%. The advantages of this approach are its minimal invasiveness (with no external scars), optimal exposure of the operative field (with better visibility of structures) and good control of perforation margins. The drawbacks are that it is time-consuming and can be difficult to perform, requiring years of endoscopic experience. In this review, all the relevant literature published in which repair was completely made endoscopically is overviewed, comparing the success rates, diameter of the perforation and materials used for the repair.
鼻中隔穿孔的手术闭合是鼻科手术中最具挑战性的操作之一。在过去十年中，已经描述了许多内镜修复技术，术后修复成功率在76.4%至100%之间。这种方法的优点是微创性极小（无外部瘢痕）、手术视野暴露最佳（结构可视性更好）以及对穿孔边缘的良好控制。缺点是耗时且操作可能困难，需要多年的内镜经验。在本综述中，概述了所有完全通过内镜进行修复的相关文献，比较了成功率、穿孔直径和用于修复的材料。
