Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-05-13T06:25:52.340Z Has data issue: false hasContentIssue false
  • English
  • Français

Septal perforations closure utilizing the backwards extraction-reposition technique of the quadrangular cartilage

Published online by Cambridge University Press:  29 June 2007

Adolfo Sarandeses-García ,
Giorgio Sulsenti ,
Manuel López-Amado  and
José Martínez-Vidal
Adolfo Sarandeses-García*
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
Giorgio Sulsenti
Affiliation:
Ospedale Generale San Pietro Terme, Bolonia, Italy.
Manuel López-Amado
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
José Martínez-Vidal
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
*
Address for correspondence: Adolfo Sarandeses-García, Betanzos, 2-6°I 15004 La Coruña, Spain. Fax: 07-34-981-178052.
Get access Rights & Permissions [Opens in a new window]

Abstract

Nasal septal perforations are anatomical defects of the nasal septum, causing dynamic alterations in nasal physiology which may lead to variable symptoms and otolaryngological referral.

Repair of nasal septal perforations continues to remain a difficult surgical problem, and nowadays there is no definitive solution for their successful surgical closure.

Thirty patients with small- or medium-sized anterior nasal septal perforations were treated with a simple technique of backwards extraction-reposition of the quadrangular cartilage. Prior nasal septal surgery and repeated cautery were the most common cause of perforation. After a minimum follow-up of two years the success rate for relief of symptoms and closure of the perforation was 87 per cent.

This technique showed very good results in small-sized and selected cases with medium-sized perforations, but the mucosal dissection employed is not suitable for medium to large perforations.

Keywords

Nasal septumFistulaProsthesis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 8 , August 1999 , pp. 721 - 724
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arnstein, D., Berke, G. (1989) Surgical considerations in the open rhinoplasty approach to closure of septal perforations. Archives of Otolaryngology – Head and Neck Surgery 115: 435–438.CrossRefGoogle ScholarPubMed
Brain, D. J. (1980) Septo-rhinoplasty: the closure of septal perforations. Journal of Otolaryngology 94: 495–505.Google ScholarPubMed
Bridger, G. P. (1986) Surgical closure of septal perforations. Archives of Otolaryngology – Head and Neck Surgery 112: 1283–1286.CrossRefGoogle ScholarPubMed
Fairbanks, D. N. F., Fairbanks, G. R. (1980) Nasal septal perforations: prevention and management. Annals of Plastic Surgery 5: 452–459.CrossRefGoogle ScholarPubMed
Goodman, W. S., Strelzow, V. V. (1982) The surgical closure of nasoseptal perforations. Laryngoscope 92: 121–124.CrossRefGoogle ScholarPubMed
Hoddeson, R. B., Leliever, W. C. (1986) A surgical approach to large septal perforation. Texas Medicine 82: 27–29.Google ScholarPubMed
Hussain, A., Murthy, P. (1997) Modified Tragal cartilage-temporoparietal and deep temporal fascia sandwich graft technique for repair of nasal septal perforations. Journal of Otolaryngology 111: 435–437.Google ScholarPubMed
Kridel, R. V. H., Appling, W. D., Wright, W. K. (1986) Septal perforation closure utilizing the external septorhinoplasty approach. Archives of Otolaryngology – Head and Neck Surgery 112: 168–172.CrossRefGoogle ScholarPubMed
Romo, T., Foster, C. A., Korovin, G. S., Sachs, M. E. (1988) Repair of nasal septal perforation utilizing the midface degloving technique. Archives of Otolaryngology – Head and Neck Surgery 114: 739–42.CrossRefGoogle ScholarPubMed
Schultz-Coulon, H. J. (1994) Experiences with the bridge-flap technique for the repair of large nasal septal perforations. Rhinology 32: 25–33.Google ScholarPubMed
Sulsenti, G. (1994) Le Perforazioni del setto nasale. In Chirurgia funzionale e estética del naso. 2nd Edition. Ghedine Editore, Milano, pp 351–367.Google Scholar
Tardy, M. E. Jr. (1977) Sublabial mucosal flap: repair of septal perforations. Laryngoscope 87: 275–278.CrossRefGoogle ScholarPubMed
Tzadik, A., Gilbert, S. E., Sade, J. (1988) Complications of submucous resections of the nasal septum. Archives of Otolaryngology – Head and Neck Surgery 245: 74–76.Google ScholarPubMed
Younger, R., Blokmanis, A. (1985) Nasal septal perforations. Journal of Otolaryngology 14: 125–131.Google ScholarPubMed