Surgical outcome and complications of nasal septal perforation repair with temporal fascia and periosteal grafts

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Sammanfattning

AIMS:

Surgical treatment of nasal septal perforation remains a challenging field of rhinology. A large variety of techniques and grafts with promising results have been introduced for perforation repair. However, the use of fascia or fascia with periosteum has not been previously evaluated for a large sample of patients.

METHODS:

During the years 2007-2014, 105 operations were performed and 98 patients were treated for nasal septal perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland. We performed a retrospective review of closure rates and complications. Follow-up time ranged from 1 to 62 months.

RESULTS:

Bleeding was the most common early complication (9%), followed by postoperative infection (5%) in the whole series. Our main technique, bipedicled advancement flaps with fascia or fascia and periosteum, was performed for 81 patients. We obtained successful closure in 78% of these patients with this operative technique and the rate increased to 86% during the last 3 years of the study period.

CONCLUSIONS:

Perforation repair with temporal fascia or fascia with periosteum requiring only one donor site seems to be a reliable option for nasal septal perforation repair.
Originalspråkengelska
TidskriftClinical medicine insights. Ear, nose and throat
Volym2015
Utgåva8
Sidor (från-till)7-11
Antal sidor5
ISSN1179-5506
StatusPublicerad - 2015
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 3125 Öron-, näs- och halssjukdomar, ögonsjukdomar

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title = "Surgical outcome and complications of nasal septal perforation repair with temporal fascia and periosteal grafts",
abstract = "AIMS: Surgical treatment of nasal septal perforation remains a challenging field of rhinology. A large variety of techniques and grafts with promising results have been introduced for perforation repair. However, the use of fascia or fascia with periosteum has not been previously evaluated for a large sample of patients.METHODS: During the years 2007-2014, 105 operations were performed and 98 patients were treated for nasal septal perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland. We performed a retrospective review of closure rates and complications. Follow-up time ranged from 1 to 62 months.RESULTS: Bleeding was the most common early complication (9{\%}), followed by postoperative infection (5{\%}) in the whole series. Our main technique, bipedicled advancement flaps with fascia or fascia and periosteum, was performed for 81 patients. We obtained successful closure in 78{\%} of these patients with this operative technique and the rate increased to 86{\%} during the last 3 years of the study period.CONCLUSIONS: Perforation repair with temporal fascia or fascia with periosteum requiring only one donor site seems to be a reliable option for nasal septal perforation repair.",
keywords = "3125 Otorhinolaryngology, ophthalmology",
author = "Virkkula, {Paula Maarit} and M{\"a}kitie, {Antti Aarni} and Seija Vento",
year = "2015",
language = "English",
volume = "2015",
pages = "7--11",
journal = "Clinical medicine insights. Ear, nose and throat",
issn = "1179-5506",
publisher = "SAGE Publications Ltd STM",
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TY - JOUR

T1 - Surgical outcome and complications of nasal septal perforation repair with temporal fascia and periosteal grafts

AU - Virkkula, Paula Maarit

AU - Mäkitie, Antti Aarni

AU - Vento, Seija

PY - 2015

Y1 - 2015

N2 - AIMS: Surgical treatment of nasal septal perforation remains a challenging field of rhinology. A large variety of techniques and grafts with promising results have been introduced for perforation repair. However, the use of fascia or fascia with periosteum has not been previously evaluated for a large sample of patients.METHODS: During the years 2007-2014, 105 operations were performed and 98 patients were treated for nasal septal perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland. We performed a retrospective review of closure rates and complications. Follow-up time ranged from 1 to 62 months.RESULTS: Bleeding was the most common early complication (9%), followed by postoperative infection (5%) in the whole series. Our main technique, bipedicled advancement flaps with fascia or fascia and periosteum, was performed for 81 patients. We obtained successful closure in 78% of these patients with this operative technique and the rate increased to 86% during the last 3 years of the study period.CONCLUSIONS: Perforation repair with temporal fascia or fascia with periosteum requiring only one donor site seems to be a reliable option for nasal septal perforation repair.

AB - AIMS: Surgical treatment of nasal septal perforation remains a challenging field of rhinology. A large variety of techniques and grafts with promising results have been introduced for perforation repair. However, the use of fascia or fascia with periosteum has not been previously evaluated for a large sample of patients.METHODS: During the years 2007-2014, 105 operations were performed and 98 patients were treated for nasal septal perforation at the Department of Otorhinolaryngology-Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland. We performed a retrospective review of closure rates and complications. Follow-up time ranged from 1 to 62 months.RESULTS: Bleeding was the most common early complication (9%), followed by postoperative infection (5%) in the whole series. Our main technique, bipedicled advancement flaps with fascia or fascia and periosteum, was performed for 81 patients. We obtained successful closure in 78% of these patients with this operative technique and the rate increased to 86% during the last 3 years of the study period.CONCLUSIONS: Perforation repair with temporal fascia or fascia with periosteum requiring only one donor site seems to be a reliable option for nasal septal perforation repair.

KW - 3125 Otorhinolaryngology, ophthalmology

M3 - Article

VL - 2015

SP - 7

EP - 11

JO - Clinical medicine insights. Ear, nose and throat

JF - Clinical medicine insights. Ear, nose and throat

SN - 1179-5506

IS - 8

ER -