Nasal Septal Perforation: Experience of Management

Introduction Nasal septal perforation is the loss of composite tissue comprising the mucosa, bone or cartilage structures that form the nasal septum. Nasal septum perforation has many causes. Though it may be idiopathic, the most common causes are iatrogenic like nasal surgeries. Among other reas...

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Main Authors: Selçuk Kuzu, Çağlar Günebakan
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2021-02-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/296
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author Selçuk Kuzu
Çağlar Günebakan
author_facet Selçuk Kuzu
Çağlar Günebakan
author_sort Selçuk Kuzu
collection DOAJ
description Introduction Nasal septal perforation is the loss of composite tissue comprising the mucosa, bone or cartilage structures that form the nasal septum. Nasal septum perforation has many causes. Though it may be idiopathic, the most common causes are iatrogenic like nasal surgeries. Among other reasons are septal hematoma, nasal picking habit, nasal cauterization due to nosebleeds, nasotracheal intubation, cocaine use, vasculitis, inflammatory diseases such as sarcoidosis, This study aims to review the approach to management of patients with nasal septal perforation who underwent repair of the perforation in a tertiary clinic, in the light of current literature. Materials and Methods In this study, the records of 27 patients who were diagnosed with nasal septal perforation and treated surgically in a tertiary clinic, between January 2015 and June 2019 were reviewed retrospectively. Results The successful closure rate of perforations was 74%. In 4 of 7 patients whose perforations were not completely closed, the perforation size was larger than 2 cm in diameter. Conclusion Successful repair of nasal septal perforation depends largely on the cause, location, size of the perforation, cartilage bone tissue on the perforation edges, surgical technique and the surgeon's experience.
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spelling doaj.art-817faa1a5deb4e43890a73e7176521d92024-03-02T13:52:20ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-02-0128310.47210/bjohns.2020.v28i3.296Nasal Septal Perforation: Experience of ManagementSelçuk Kuzu0Çağlar Günebakan1Afyonkarahisar Health Sciences UniversityAfyonkarahisar Health Sciences UniversityIntroduction Nasal septal perforation is the loss of composite tissue comprising the mucosa, bone or cartilage structures that form the nasal septum. Nasal septum perforation has many causes. Though it may be idiopathic, the most common causes are iatrogenic like nasal surgeries. Among other reasons are septal hematoma, nasal picking habit, nasal cauterization due to nosebleeds, nasotracheal intubation, cocaine use, vasculitis, inflammatory diseases such as sarcoidosis, This study aims to review the approach to management of patients with nasal septal perforation who underwent repair of the perforation in a tertiary clinic, in the light of current literature. Materials and Methods In this study, the records of 27 patients who were diagnosed with nasal septal perforation and treated surgically in a tertiary clinic, between January 2015 and June 2019 were reviewed retrospectively. Results The successful closure rate of perforations was 74%. In 4 of 7 patients whose perforations were not completely closed, the perforation size was larger than 2 cm in diameter. Conclusion Successful repair of nasal septal perforation depends largely on the cause, location, size of the perforation, cartilage bone tissue on the perforation edges, surgical technique and the surgeon's experience.https://bjohns.in/journal3/index.php/bjohns/article/view/296nasal septumNasal Septal PerforationSurgical Flaps
spellingShingle Selçuk Kuzu
Çağlar Günebakan
Nasal Septal Perforation: Experience of Management
Bengal Journal of Otolaryngology and Head Neck Surgery
nasal septum
Nasal Septal Perforation
Surgical Flaps
title Nasal Septal Perforation: Experience of Management
title_full Nasal Septal Perforation: Experience of Management
title_fullStr Nasal Septal Perforation: Experience of Management
title_full_unstemmed Nasal Septal Perforation: Experience of Management
title_short Nasal Septal Perforation: Experience of Management
title_sort nasal septal perforation experience of management
topic nasal septum
Nasal Septal Perforation
Surgical Flaps
url https://bjohns.in/journal3/index.php/bjohns/article/view/296
work_keys_str_mv AT selcukkuzu nasalseptalperforationexperienceofmanagement
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