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Management of Perforations of the Nasal Septum: Can Extracorporeal Septoplasty Be an Effective Option?
Ist Teil von
Journal of oral and maxillofacial surgery, 2014-02, Vol.72 (2), p.391-395
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2014
Quelle
Elsevier ScienceDirect Journals
Beschreibungen/Notizen
Purpose Perforation of the nasal septum is a frustrating problem frequently reported in the literature. Surprisingly, in most reports, iatrogenic perforation during septoplasty and electrocautery are the leading causes of this complication. This article presents the management of septal perforations and the indications for an extracorporeal approach. Materials and Methods Fourteen patients with septal perforations were referred for treatment. Treatment was chosen based on defect size. Flaps, extracorporeal repair, or no treatment was used as indicated. Results Two of 14 perforations were small and were repaired by local flaps, 5 cases were treated by extracorporeal repair, and the 7 remaining cases required no surgical procedure. Conclusions The extracorporeal technique, when indicated, can be used effectively for the repair of nasal septum perforations in selected cases.