Sazgar Amir A, Sazgar Mehr A, Zarringhalam Mohammad A, Sazgar Amir K
Aesthet Surg J. 2024 Sep 16;44(10):1023-1031. doi: 10.1093/asj/sjae098.
Various techniques are employed for septal perforation repair but success rates still vary. Numerous mucosal flaps are used for septal perforation closure; however, a scaffold is essential for proper positioning and enhanced mucosal growth.
The aim of this study was to assess the effectiveness of utilizing a septal bone/cartilage composite graft (BC unit) to close septal perforations in rhinoplasty patients and evaluate patient satisfaction.
This case series included patients with septal perforation undergoing rhinoplasty and perforation repair between 2019 and 2023. BC units were used to cover the cartilaginous perforations in all patients. Patients were followed for a minimum of 1 year, assessing surgical results and postoperative satisfaction with the 10-item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).
In this study, 31 patients (22 female, 9 male), with a mean [standard deviation] age of 34.80 [10.31] years (range, 19-59 years), were enrolled. Nine had previousl undergone septoplasty, while four had undergone septorhinoplasty. The preoperative perforation size ranged from 6 to 27 mm (mean, 14.1 mm). At final follow-up, 26 cases (83.8%) achieved complete closure, while 3 had incomplete closures, and 2 experienced reperforation. Analysis revealed a notable mean decrease of 31.93 [26.47] in obstruction domain scores (SCHNOS-O) and a mean decrease of 44.19 [25.37] in cosmesis domain scores (SCHNOS-C).
Septal perforation repair and rhinoplasty can be safely and effectively performed concurrently with BC units for suitable candidates.
鼻中隔穿孔修复采用了多种技术，但成功率仍存在差异。众多黏膜瓣用于鼻中隔穿孔闭合；然而，一个支架对于正确定位和促进黏膜生长至关重要。
本研究的目的是评估利用鼻中隔骨/软骨复合移植物（BC单元）闭合隆鼻患者鼻中隔穿孔的有效性，并评估患者满意度。
本病例系列纳入了2019年至2023年间接受隆鼻及穿孔修复的鼻中隔穿孔患者。所有患者均使用BC单元覆盖软骨穿孔。对患者进行至少1年的随访，采用10项标准化美容和健康鼻部结果调查（SCHNOS）评估手术效果和术后满意度。
本研究共纳入31例患者（22例女性，9例男性），平均[标准差]年龄为34.80[10.31]岁（范围19 - 59岁）。9例曾接受过鼻中隔成形术，4例曾接受过鼻整形术。术前穿孔大小为6至27 mm（平均14.1 mm）。在最终随访时，26例（83.8%）实现完全闭合，3例闭合不完全，2例出现再穿孔。分析显示，阻塞领域评分（SCHNOS - O）平均显著下降31.93[26.47]，美容领域评分（SCHNOS - C）平均下降44.19[25.37]。
对于合适的患者，鼻中隔穿孔修复和隆鼻可以安全有效地同时使用BC单元进行。
