Department of Otorhinolaryngology, University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Department of Otorhinolaryngology, Kocaeli Technology and Health University, Kocaeli, Turkey.
Facial Plast Surg Aesthet Med. 2024 May-Jun;26(3):339-343. doi: 10.1089/fpsam.2023.0163. Epub 2024 Jan 12.
To measure the success of the fascia lata-fat island graft technique in septal perforation repair as measured by nasal endoscopic examination. This study presents the results of using fascia lata-fat island, a different graft technique, for the repair of septal perforations, offering an alternative to this challenging procedure. This retrospective study assesses nasal septal perforation repair using the fascia lata-fat island graft technique performed by a single surgeon. Inclusion criteria involved completing 12-month follow-ups within a 3-year review period. Success rates were calculated and evaluated alongside patient characteristics. The median (range) age of the 25 patients included in the study was 34 (25-45) years and 72.0% were men. The septal perforation size of all patients was >2 cm and the etiological cause in all of them was previous septal surgery. All patients were followed for 12 months. The perforation was completely closed in 23 of 25 patients (92%). Using a different graft with an open rhinoplasty approach, we achieved a high success rate in patients with large septal perforations, followed for 1 month with nasal stenting and an average follow-up duration of 12 months.
评估经内镜检查测量阔筋膜脂肪瓣移植物技术在鼻中隔穿孔修复中的成功率。本研究介绍了使用阔筋膜脂肪瓣这一不同移植物技术修复鼻中隔穿孔的结果，为这一具有挑战性的手术提供了另一种选择。这项回顾性研究评估了由一位外科医生实施的阔筋膜脂肪瓣移植物技术修复鼻中隔穿孔的情况。纳入标准包括在 3 年的回顾期内完成 12 个月的随访。计算成功率并结合患者特征进行评估。研究纳入的 25 名患者的中位（范围）年龄为 34（25-45）岁，其中 72.0%为男性。所有患者的鼻中隔穿孔大小均>2cm，且所有患者的病因均为既往鼻中隔手术。所有患者均随访 12 个月。25 名患者中有 23 名（92%）穿孔完全闭合。我们使用开放式鼻整形术的不同移植物，在接受大鼻中隔穿孔修复的患者中取得了较高的成功率，在接受 1 个月的鼻支架置入和平均 12 个月的随访后。
