Closure Of Nasal Septal Perforation Research Articles

Prosthetic Closure of Nasal Septal Perforations

One hundred seventy-one patients had closure of symptomatic nasal septal perforations by insertion of a Silastic nasal septal prosthesis between June 1972 and August 1981. Follow-up revealed that successful closure of the defect was accomplished in 73% of cases, with reduction in crusting and epistaxis and improvement in nasal respiration in many cases. Prefabricated prostheses have been effective in treating smaller perforations. The treatment of four patients with unusually large septal perforations by custom-carved prostheses sized using computerized axial tomographic scanning is described.

Closure of nasal septal perforations.

Twenty patients with nasal septal perforations were treated in a seven-year period by closure with a combined flap and graft technique. Nineteen patients (95%) reported relief of symptoms and showed complete closure of their perforations on follow-up examinations one to seven years later. The technique employs bipedicled mucosal advancement flaps, designed to maximize blood supply for flap viability, and an underlying connective tissue autograft (fascia or pericranium) for structural reinforcement.

Non-surgical closure of nasal septal perforations

Non-surgical closure of nasal septal perforations

Nonsurgical closure of nasal septal perforations.

Seventy-three patients had medical-grade Silastic buttons inserted transnasally (between June 1972 and June 1976) into a perforation of the nasal septum. This nonsurgical technique was done as an office procedure on 67 of the patients with the use of topically applied 5% cocaine solution. The Silastic button has remained in place in 72.6% of the entire study group; follow-up times for this group range from six months to four years. This mechanical covering of the perforation substantially reduced crusting and epistaxis, and it improved nasal respiration in many cases.

Closure of nasal septal perforation with composite flaps.

A procedure for closure of symptomatic nasal septal perforations is described. The procedure combines the advantages of the good vascular supply of a rotation flap with the strength of a composite graft.