Evaluation of different techniques for correction of nasal septal perforation

Abstract EN

Perforation of the septum ore a well recognized complication of septal surgery.

Mast postsurgical perforations follow the classic Killian submucous resection, other iatrogenic cause's of perforations Include cautery, or unrecognized or untreated septal hematoma which becomes complicated by obscess formation and perforation Twenty patients with septal Perforations less than 2 cm in the cartilaginous septum were selected for this study.

Ten cases were reprieved with a tragal carltlage-temporoparietal and deep temporal fascia sandwich technique (Group I) Other ten cases mere repotted using end nasal dissection, suture of the borders of the perforation on at least one side; and the interposition of a graft of temporal fascia with bone, either a perpendicular plate of ethmoid (four/ if available or mastoid cortex (six) if not (Group 2).

Successful complete closure was achieved in 3 patient (30%) partial closure In other 2 (20%) patients m group I H'hile i.omplete closure occurred in 4 patients (40%) and partial closure in 3 patient (30%) in group (2) after on observation time of up to one year.

Either technique may be considered' for repair of septal perforation The incomplete closure was most probably due to migration of the graft immediately after surgery.

The remaining perforation was in the posterior part of the septum which has sufficient to relieve the patient of his I symptoms complete failure of healing may be due to infection, there was no morbidity of the donor site No major complications were encountered.