Sandwich graft technique outcomes in medium and large size nasal septal perforations
Introduction: Surgical treatment of medium and large sized nasal septal perforation is challenging. Techniques with and without interposition grafts are used. Objective: The aim of this study is to explain how we apply the sandwich graft technique that we use in medium and large nasal septal perfora...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869421000161 |
| _version_ | 1811197426709561344 |
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| author | Serdar Özer Ahmet Emre Süslü Taner Yılmaz Tevfik Metin Önerci |
| author_facet | Serdar Özer Ahmet Emre Süslü Taner Yılmaz Tevfik Metin Önerci |
| author_sort | Serdar Özer |
| collection | DOAJ |
| description | Introduction: Surgical treatment of medium and large sized nasal septal perforation is challenging. Techniques with and without interposition grafts are used. Objective: The aim of this study is to explain how we apply the sandwich graft technique that we use in medium and large nasal septal perforations as well as to present the results. Methods: We retrospectively reviewed the patients who were operated with the sandwich graft technique between January 2014 to December 2018 and followed up for at least 6 months. The demographic data, symptom scores, examination, and surgical findings of the patients were taken from the hospital records. Surgical outcomes were presented according to both perforation etiologies (idiopathic or iatrogenic) and sizes (Group A: < 2 cm, Group B: ≥ 2 cm). Results: We reviewed 52 cases and 56 surgeries. The average diameter of the perforations was 19.2 mm. The success rate after initial surgeries was 84.6% (44/52). After 4 revision surgeries, the perforation was closed in 88.5% of the cases (46/52). Success rates for Group A and Group B were 90.0% and 86.4%, respectively (p = 0.689). The success rates in idiopathic and iatrogenic cases were 93.3% and 86.5%, respectively (p = 0.659). Conclusion: This study showed that the success rate of sandwich graft technique was higher in medium-sized perforations than large-sized ones and in idiopathic perforations compared to iatrogenic ones, but the latter rate was not statistically significant. This demonstrated that perforation size was not as important in the sandwich graft technique as in flap techniques. |
| first_indexed | 2024-04-12T01:13:35Z |
| format | Article |
| id | doaj.art-9519506846a94c1884dcaae0e8762513 |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-12T01:13:35Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-9519506846a94c1884dcaae0e87625132022-12-22T03:54:02ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-01886896901Sandwich graft technique outcomes in medium and large size nasal septal perforationsSerdar Özer0Ahmet Emre Süslü1Taner Yılmaz2Tevfik Metin Önerci3Corresponding author.; Hacettepe University, Faculty of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, Ankara, TurkeyHacettepe University, Faculty of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, Ankara, TurkeyHacettepe University, Faculty of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, Ankara, TurkeyHacettepe University, Faculty of Medicine, Department of Otorhinolaryngology-Head & Neck Surgery, Ankara, TurkeyIntroduction: Surgical treatment of medium and large sized nasal septal perforation is challenging. Techniques with and without interposition grafts are used. Objective: The aim of this study is to explain how we apply the sandwich graft technique that we use in medium and large nasal septal perforations as well as to present the results. Methods: We retrospectively reviewed the patients who were operated with the sandwich graft technique between January 2014 to December 2018 and followed up for at least 6 months. The demographic data, symptom scores, examination, and surgical findings of the patients were taken from the hospital records. Surgical outcomes were presented according to both perforation etiologies (idiopathic or iatrogenic) and sizes (Group A: < 2 cm, Group B: ≥ 2 cm). Results: We reviewed 52 cases and 56 surgeries. The average diameter of the perforations was 19.2 mm. The success rate after initial surgeries was 84.6% (44/52). After 4 revision surgeries, the perforation was closed in 88.5% of the cases (46/52). Success rates for Group A and Group B were 90.0% and 86.4%, respectively (p = 0.689). The success rates in idiopathic and iatrogenic cases were 93.3% and 86.5%, respectively (p = 0.659). Conclusion: This study showed that the success rate of sandwich graft technique was higher in medium-sized perforations than large-sized ones and in idiopathic perforations compared to iatrogenic ones, but the latter rate was not statistically significant. This demonstrated that perforation size was not as important in the sandwich graft technique as in flap techniques.http://www.sciencedirect.com/science/article/pii/S1808869421000161Interposition graftNasal septal perforationNasal septumSandwich techniqueSeptal perforation repair |
| spellingShingle | Serdar Özer Ahmet Emre Süslü Taner Yılmaz Tevfik Metin Önerci Sandwich graft technique outcomes in medium and large size nasal septal perforations Brazilian Journal of Otorhinolaryngology Interposition graft Nasal septal perforation Nasal septum Sandwich technique Septal perforation repair |
| title | Sandwich graft technique outcomes in medium and large size nasal septal perforations |
| title_full | Sandwich graft technique outcomes in medium and large size nasal septal perforations |
| title_fullStr | Sandwich graft technique outcomes in medium and large size nasal septal perforations |
| title_full_unstemmed | Sandwich graft technique outcomes in medium and large size nasal septal perforations |
| title_short | Sandwich graft technique outcomes in medium and large size nasal septal perforations |
| title_sort | sandwich graft technique outcomes in medium and large size nasal septal perforations |
| topic | Interposition graft Nasal septal perforation Nasal septum Sandwich technique Septal perforation repair |
| url | http://www.sciencedirect.com/science/article/pii/S1808869421000161 |
| work_keys_str_mv | AT serdarozer sandwichgrafttechniqueoutcomesinmediumandlargesizenasalseptalperforations AT ahmetemresuslu sandwichgrafttechniqueoutcomesinmediumandlargesizenasalseptalperforations AT taneryılmaz sandwichgrafttechniqueoutcomesinmediumandlargesizenasalseptalperforations AT tevfikmetinonerci sandwichgrafttechniqueoutcomesinmediumandlargesizenasalseptalperforations |