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

Show full item record



Permalink

http://hdl.handle.net/10138/231919

Citation

Virkkula , P M , Mäkitie , A A & Vento , S 2015 , ' Surgical outcome and complications of nasal septal perforation repair with temporal fascia and periosteal grafts ' , Clinical medicine insights. Ear, nose and throat , vol. 2015 , no. 8 , pp. 7-11 .

Title: Surgical outcome and complications of nasal septal perforation repair with temporal fascia and periosteal grafts
Author: Virkkula, Paula Maarit; Mäkitie, Antti Aarni; Vento, Seija
Contributor: University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2015
Language: eng
Number of pages: 5
Belongs to series: Clinical medicine insights. Ear, nose and throat
ISSN: 1179-5506
URI: http://hdl.handle.net/10138/231919
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.
Subject: 3125 Otorhinolaryngology, ophthalmology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
cment.s23230.pdf 271.4Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record