Endoscopic sandwich technique for moderate nasal septal perforations

Laryngoscope. 2012 Nov;122(11):2367-72. doi: 10.1002/lary.23481. Epub 2012 Aug 2.

Abstract

Objectives/hypothesis: The aim of this article was to describe our surgical technique for the treatment of nasal septal perforations with diameters of 1 to 2 cm.

Study design: Retrospective clinical research.

Methods: We reviewed 13 patients with moderate nasal septal perforations (1-2 cm diameter) treated with a sandwich technique (bone or cartilage and quadriceps fascia graft as an interposition graft) by an endoscope-assisted intranasal approach from January 2008 to June 2011. Follow-up periods were 3 months.

Results: Thirteen patients were treated with the sandwich technique. Twelve cases (92.3%) were completely healed. One case received incomplete closures without any postoperative symptoms. All patients were found not to have any complications after surgery.

Conclusions: The transnasal endoscopic sandwich technique for repairing moderate nasal septal perforation (1-2 cm) has a high success rate and is easy to perform.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Endoscopy / methods*
  • Fascia / transplantation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasal Septal Perforation / surgery*
  • Retrospective Studies
  • Rhinoplasty / methods*
  • Surgical Flaps
  • Treatment Outcome