Kridel Russell W H, Delaney Sean W
Facial Plastic Surgery Associates (Private Practice), 6655 Travis Street, Suite 900, Houston, TX 77006, USA; Division of Facial Plastic Surgery, Department of Otorhinolaryngology - Head and Neck Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA.
Huntington Ear Nose Throat Head & Neck Specialists (Private Practice), 547 East Union Street, Pasadena, CA 91101, USA.
Facial Plast Surg Clin North Am. 2019 Nov;27(4):443-449. doi: 10.1016/j.fsc.2019.07.002. Epub 2019 Aug 30.
Iatrogenic septal perforation is a complication of nasal surgery. Small or posterior perforations cause few symptoms, and need only conservative treatment. Larger and anterior perforations contribute to nasal airflow disturbances and external nasal deformities. When considering surgical candidacy, one should consider the severity of symptoms, location and size of the perforation, and need for revsional rhinoplasty. We repair perforations using intranasal mucosal advancement flaps augmented by an interposition connective tissue graft. Septal perforation repairs are tedious and technically challenging. We review key points to minimize unintended perforation formation following nasal surgery.
医源性鼻中隔穿孔是鼻部手术的一种并发症。小的或后部穿孔引起的症状较少，仅需保守治疗。较大的前部穿孔会导致鼻气流紊乱和鼻外部畸形。在考虑手术适应症时，应考虑症状的严重程度、穿孔的位置和大小以及修复性鼻整形术的必要性。我们使用鼻内黏膜推进皮瓣并辅以插入性结缔组织移植物来修复穿孔。鼻中隔穿孔修复手术繁琐且技术要求高。我们回顾了鼻部手术后将意外穿孔形成降至最低的关键点。
