Vol. 83, March 2015

Repair of Traumatic Nasal Septal Perforation Using Temporalis Fascia and Interpositional Auricular Cartilage Graft

User Rating:  / 0
PoorBest 

Repair of Traumatic Nasal Septal Perforation Using Temporalis Fascia and Interpositional Auricular Cartilage Graft, NASSER A. FAGEEH

 

Abstract
Objectives: To review our experience in the surgical repair of medium size symptomatic posttraumatic nasal septal per-foration using conchal cartilage and temporalis fascia grafts.
Patients and Methods: A retrospective study patients' records-based design was followed. The study was conducted at Asser Central Hospital and Abha Private Hospital. It com-prised the study of medical records of 19 patients (15 males, 4 females) diagnosed and treated for nasal septal perforation between January 2008 and June 2014. Patients who presented with symptomatic post-traumatic nasal septal perforation were included in the study. All other patients, including asymptom-atic patients, patients who had septal perforation less than 1cm or larger than 3cm, patients suspected to have active inflammatory process, drug abuse and patients who were followed-up for less than 6 months were excluded from the study. One surgeon (the researcher) operated all patients and the surgical technique using temporalis fascia and auricular cartilage grafts was used in all patients.
Results: Sixteen (84.21%) patients had septal perforation as a complication of septoplasty procedure and 3 (15.78%) patients following facial trauma. The mean size of the operated perforations was 15.68mm (range 10-25mm). Presenting symptoms included nasal dryness and crusting in 11 (57.89.10%) patients, nasal pain in 10 (52.63%) patients, nasal obstruction in 8 (42.10%) patients and epistaxis in 7 (36.84%) patients. Five (26.31%) patients experienced three or more symptoms. Seventeen (89.47%) had complete closure and 2 (10.53%) had incomplete closure. One (5.26%) patient of those who had incomplete closure remained symptomatic and declined a second trial of surgical repair.
Conclusion: Closure of nasal septal perforations using temporalis fascia with interpositional auricular cartilage graft is very useful and has high successful rate, especially for the medium sized septal perforations.

 

Show full text

Copyright © 2014. All Rights Reserved.
Designer and Developer 
EXPERT WEB SOLUTIONS        0020 1224757188