Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps

  1. Villacampa Aubá, José Miguel 4
  2. Sánchez Barrueco, Alvaro 2
  3. Díaz Tapia, Gonzalo
  4. Santillán Coello, Jessica Mireya
  5. Escobar Montatixe, Diego Armando
  6. González Galán, Fernando 1
  7. Mahillo Fernández, Ignacio 1
  8. González Márquez, Rocío 3
  9. Cenjor Español, Carlos 1
  1. 1 Fundación Jiménez Díaz
    info

    Fundación Jiménez Díaz

    Madrid, España

    ROR https://ror.org/049nvyb15

  2. 2 Universidad Alfonso X el Sabio
    info

    Universidad Alfonso X el Sabio

    Villanueva de la Cañada, España

    ROR https://ror.org/054ewwr15

  3. 3 Hospital Universitario Central de Asturias
    info

    Hospital Universitario Central de Asturias

    Oviedo, España

    ROR https://ror.org/03v85ar63

  4. 4 Universidad Autónoma de Madrid
    info

    Universidad Autónoma de Madrid

    Madrid, España

    ROR https://ror.org/01cby8j38

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Revista:
European Archives of Oto-Rhino-Laryngology

ISSN: 0937-4477,  1434-4726

Año de publicación: 2018

Volumen: 276

Número: 1

Páginas: 101-106

Tipo: Artículo

DOI: 10.1007/S00405-018-5169-Z GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: European Archives of Oto-Rhino-Laryngology

Resumen

Background Septal perforations consist in an anatomic defect of the mucosal, cartilaginous and/or bone tissues of the nasalseptum. A huge variety of approaches and techniques for nasal perforation repair have been reported.Methodology/principal Between January 2008 and January 2017, 38 patients were treated for nasal septal perforation inDepartment of Otorhinolaryngology Head and Neck Surgery, Fundación Jiménez Díaz University Hospital, Madrid, Spain.A novel approach is presented based on microscope. Septal perforation closure was performed with endonasal bilateraladvancement flaps-established technique and autologous cartilage and muscle temporal fascia grafts. We performed a retrospective review of closure rates and complications.Results A postoperative follow-up of at least 12 months was performed in 37 patients. The mean size of perforation was1.33 cm. After the withdrawal of the silicone splints, perforations were completely closed in all cases. However, during thefollow-up, four patients resulted in a reperforation, so our closure rate was 89.19%. For all cases, symptoms related to septaldefect were solved. Only one case was reported of local infections that was resolved with antibiotics in a few days.Conclusions Microscopic approach of septal perforation closure using bilateral advancement flaps can be an affordabletechnique with a high percent of success and low rate of complications.

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