Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia.
Department of Otolaryngology-Head and Neck Surgery, King Saud Medical City, Riyadh First Health Cluster, Riyadh, Saudi Arabia.
Eur Arch Otorhinolaryngol. 2024 Nov;281(11):5857-5862. doi: 10.1007/s00405-024-08843-2. Epub 2024 Jul 23.
Septal perforations (SPs) present a distinct challenge. There are many described surgical approaches with variable success rates. The goal of this study is to describe a new technique in repairing SP.
A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the "tunnel technique" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.
Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.
AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.
Level 4.
间隔穿孔（SP）是一个独特的挑战。有许多描述的手术方法，成功率各不相同。本研究的目的是描述一种修复 SP 的新技术。
对 2019 年至 2022 年间接受基于前筛动脉瓣（AEA）的“隧道技术”内镜修复的 18 例前间隔穿孔患者的病例系列进行了分析。收集了人口统计学数据、病因、穿孔大小和成功率。
共纳入 18 例男性为主（67%）的病例，平均穿孔大小为 1.5cm（0.5-3.6cm）。17/18 例（94%）完全闭合 SP，术后无并发症。患者平均随访 7±5.2 个月。
隧道技术联合 AEA 瓣重建在 SP 闭合中效果良好。隧道技术为皮瓣提供了有用的支撑，最大限度地减少了其他支持措施的使用。该技术为其他鼻中隔穿孔修复技术提供了补充。
4 级。
