Santamaría-Gadea Alfonso, Mariño-Sánchez Franklin, Arana-Fernández Beatriz, Mullol Joaquim, Alobid Isam
Rhinology and Skull Base Surgery Unit, Otorhinolaryngology Department, Ramón y Cajal University Hospital, Madrid, Spain.
Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Curr Allergy Asthma Rep. 2021 Mar 5;21(3):17. doi: 10.1007/s11882-021-00992-2.
The aim of this study was to review and describe the main innovative surgical techniques for nasal septal perforation (NSP) repair that have been published in recent years.
Several techniques for NSP repair have been developed recently. The anterior ethmoidal artery (AEA) flap is a versatile technique for middle-size perforations in different locations. The greater palatine artery (GPA) flap is an excellent option for anterior-most NSPs. The lateral nasal wall flap and the pericranial flap are the most appropriate techniques for large perforations. The advent of these techniques has changed the management and has expanded the therapeutic arsenal to treat all types of NSPs according to the size, location, and osteo-cartilaginous support. However, no technique has been accepted as the gold standard. Extensive knowledge of different techniques is important to individualize the treatment, selecting the most appropriate in each case.
本研究旨在回顾并描述近年来已发表的鼻中隔穿孔（NSP）修复的主要创新手术技术。
最近已开发出几种NSP修复技术。筛前动脉（AEA）瓣是用于不同位置中等大小穿孔的通用技术。腭大动脉（GPA）瓣是最前部NSP的绝佳选择。鼻侧壁瓣和颅骨膜瓣是治疗大穿孔的最合适技术。这些技术的出现改变了治疗方式，并根据穿孔的大小、位置和骨软骨支撑情况，扩大了治疗各种类型NSP的治疗手段。然而，尚无一种技术被公认为金标准。深入了解不同技术对于个体化治疗至关重要，即在每种情况下选择最合适的技术。
