Department of Otolaryngology-Head and Neck Surgery, University of Rochester, Rochester, New York, U.S.A.
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.
Laryngoscope. 2021 Jul;131(7):1497-1500. doi: 10.1002/lary.29347. Epub 2020 Dec 28.
OBJECTIVES/HYPOTHESIS: To evaluate the outcomes of endonasal repair of septal perforations utilizing opposing bilateral rotational flaps and a periosteum interposition graft.
Retrospective review of a single surgeon, tertiary referral center experience of patients who underwent septal perforation repair. Patient demographics, etiology of perforation, closure rate, and complication data were obtained. Patients screening positively for cocaine use or anti-neutrophil cytoplasmic antibodies (ANCA) were not offered repair.
A total of 104 patients were included, 65 male and 39 female with mean age of 45.4 years. Etiology of perforations included prior surgery in 45, trauma in 15, and unknown in 44, and the average perforation size in each etiologic group were 1.35 cm, 1.25 cm, and 1.30 cm, respectively. The greatest dimension of perforations repaired ranged from 0.5 cm to 1.5 cm. The overall success rate was 87.5% at 6 month follow-up. Successful closure was achieved in 95.6%, 86.7%, and 79.5%, respectively (χ = 5.264, P = .0218).
Our described technique is a reliable endonasal approach with predictable outcomes in septal perforations up to 1.5 cm in size. Having an unknown etiology of septal perforation may be a risk factor for failure.
4 Laryngoscope, 131:1497-1500, 2021.
目的/假设：评估使用对侧双边旋转皮瓣和骨膜间置移植物修复鼻中隔穿孔的结果。
回顾性分析了一位外科医生在三级转诊中心治疗的鼻中隔穿孔患者的经验。获得了患者的人口统计学资料、穿孔病因、闭合率和并发症数据。对可卡因使用或抗中性粒细胞胞质抗体（ANCA）呈阳性筛查的患者不提供修复。
共纳入 104 例患者，65 例男性，39 例女性，平均年龄 45.4 岁。穿孔病因包括既往手术 45 例，外伤 15 例，原因不明 44 例，每个病因组的穿孔平均大小分别为 1.35cm、1.25cm 和 1.30cm。修复的穿孔最大尺寸范围为 0.5cm 至 1.5cm。6 个月随访时总体成功率为 87.5%。分别有 95.6%、86.7%和 79.5%的患者成功闭合（χ ²=5.264，P=.0218）。
我们描述的技术是一种可靠的经鼻方法，对于大小不超过 1.5cm 的鼻中隔穿孔具有可预测的结果。鼻中隔穿孔的病因不明可能是失败的一个危险因素。
4 Laryngoscope, 131:1497-1500, 2021.
