Department of Otorhinolaryngology Rhinology and Skull Base. Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Department of Otorhinolaryngology, Barros Luco Trudeu Hospital, Santiago, Chile.
Curr Allergy Asthma Rep. 2018 Feb 5;18(1):5. doi: 10.1007/s11882-018-0754-1.
Nasal septum perforation (NSP) is a communication between the two nasal cavities. This review contributes to the better knowledge of NSP causes, diagnosis, and treatment.
NSP prevalence is about 1%. Clinical presentation may range from absence of symptoms to the presence of bothersome sinonasal symptoms. NSP is more frequently caused by trauma or post-surgery, inflammatory diseases, and abuse substances. Conservative management (nasal irrigation, topical use of antibiotic or lubricant ointments, or placement of prosthesis) is considered the first-line treatment. Symptomatic NSP not improving with local therapies usually requires surgical approach. Selection of the technique for the endoscopic septal repair depends on perforation characteristics and surgeon experience. When NSP is diagnosed, its cause has to be promptly determined. Most of them can be controlled with conservative measures. Surgical/endoscopic approaches are usually needed in refractory cases, and new repair techniques have to be considered.
鼻中隔穿孔（NSP）是指两个鼻腔之间的连通。本文旨在更好地了解 NSP 的病因、诊断和治疗方法。
NSP 的患病率约为 1%。临床表现范围从无症状到有明显的鼻腔鼻窦症状。NSP 更常由创伤或手术后、炎症性疾病和滥用药物引起。保守治疗（鼻腔冲洗、局部使用抗生素或润滑剂软膏，或放置假体）被认为是一线治疗方法。局部治疗后症状仍未改善的有症状 NSP 通常需要手术治疗。内镜鼻中隔修复术的技术选择取决于穿孔的特征和外科医生的经验。一旦诊断出 NSP，就必须及时确定其病因。大多数情况下可以通过保守治疗来控制。在难治性病例中，通常需要手术/内镜方法，并且需要考虑新的修复技术。
