J Rhinol.  2014 May;21(1):37-40. 10.0000/jr.2014.21.1.37.

Prevention Technique Using Inferior Turbinate Mucosal Flap for Septal Perforation after Septoplasty

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Konkuk University, Chungju, Korea. bhkim@kku.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
Septal surgery is the most common cause of nasal septal perforation. The aims of this study are to introduce a new technique for the prevention of septal perforation during septal surgery by installingan inferior turbinate mucosal flap on the injured mucosal surface, and to determine its usefulness by evaluating the treatment outcomes.
MATERIALS AND METHODS
Between March 2012 and March 2013, 90 cases of conventional septoplasty were performed. Bilateral mucoperichondrial tears on corresponding areas occurred in 4 cases. Autologous cartilage was inserted and then both sides were repaired using inferior turbinate mucosal flaps. Follow-up periods ranged from 5 to 6 months.
RESULTS
Three of the four patients had successful outcomes with complete repair of injuries. The remaining patient had a septal perforation.
CONCLUSIONS
The technique of using an inferior turbinate mucosal flap may be an easy, effective method for the prevention of septal perforation during septal surgery.

Keyword

Septal Surgery; Septal Perforation; Nasal Mucosa
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