Surgical rehabilitation of nasal septum perforation in children

Abstract

Introduction. Technical difficulties and failures are also determined by the fact that it is extremely rare to close the perforation by simple mutual displacement and cross-linking of the flaps of mucoperichondrium. The aim of this article is to develop optimal methods for plastic closure of septum perforations in children based on a retrospective analysis of results of surgical treatment. Materials and Methods. Plastic surgery closure of septum perforations using a newly developed method is described for 14 patients aged 6–15 years. Discussion. An analysis of the etiological factors affecting disease development is carried out, and the authors’ technique of closing the subtotal perforations is described in detail, adapted for the child's age, and for preoperative preparation and postoperative management. In all operated patients, the postoperative period proceeded smoothly, without complications associated with the operation. A follow-up observation for more than a year after surgery showed no recurrence of septal perforation in patients from both groups. Conclusion. A careful analysis of the causes, clinical manifestations, localization and sizes of septum perforation in comparison with the anatomical dimensions of intranasal structures allows one to individually select the optimal surgical method.