Department of Otorhinolaryngology-Head and Neck Surgery Okmeydani Prof. Dr. Cemil Taşçioğlu City Hospital, Şişli.
Department of Otorhinolaryngology-Head and Neck Surgery, Private Hurrem Sultan Hospital, Üsküdar, Istanbul, Turkey.
J Craniofac Surg. 2024;35(2):705-707. doi: 10.1097/SCS.0000000000009876. Epub 2023 Nov 16.
Nasal septal perforation (NSP) is an anatomical defect involving the mucosa, cartilage/bone of the nasal septum, most commonly caused by septoplasty. Spontaneous healing of a perforated septum is rare; instead, it tends to worsen over time. Several surgical approaches have been described for NSP repair. In this study, the authors present a novel technique using only fascia lata graft for repairing NSP of various sizes.
The authors conducted a retrospective study, including 23 patients who underwent NSP repair between January 2020 and January 2022. Grafts were harvested, and the perforation was accessed through an open rhinoplasty approach, followed by insertion and suturing of the graft.
The mean size of the septal perforations was 2.13 mm horizontally and 2.14 mm vertically. The mean follow-up period was 12 months. Complete closure of NSP was achieved in 21 out of 23 patients (91.30%). Among the cases, 17 were males (11.76%), and the age ranged from 20 to 43 years with a mean of 36.5. Eight cases (50%) were smokers. At 12 months postoperatively, 3 medium-sized NSPs were closed successfully, whereas 2 large NSPs did not achieve closure due to smoking.
The fascia lata technique for NSP closure is a safe and reliable approach with a high success rate, which should be considered for patients with NSP.
鼻中隔穿孔（NSP）是一种涉及鼻中隔黏膜、软骨/骨的解剖学缺陷，最常见于鼻中隔成形术。穿孔的鼻中隔很少能自行愈合，反而往往会随着时间的推移而恶化。已经描述了几种用于修复 NSP 的手术方法。在这项研究中，作者介绍了一种仅使用阔筋膜移植物修复各种大小 NSP 的新技术。
作者进行了一项回顾性研究，包括 23 名在 2020 年 1 月至 2022 年 1 月期间接受 NSP 修复的患者。通过开放式鼻整形术获取移植物，并通过该切口进入穿孔部位，然后插入并缝合移植物。
鼻中隔穿孔的平均大小为水平 2.13mm，垂直 2.14mm。平均随访时间为 12 个月。23 例患者中有 21 例（91.30%）完全闭合 NSP。其中，17 例为男性（11.76%），年龄 20-43 岁，平均 36.5 岁。8 例（50%）为吸烟者。术后 12 个月，3 例中等大小的 NSP 成功闭合，而 2 例大的 NSP 由于吸烟未闭合。
阔筋膜移植物技术用于闭合 NSP 是一种安全可靠的方法，成功率高，应考虑用于 NSP 患者。
