J Rhinol.  2018 May;25(1):21-25. 10.18787/jr.2018.25.1.21.

A Securing Suture Technique of Autologous Cartilage for the Prevention of Septal Perforation during Septal Surgery

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Institute of Wonkwang Medical Science, College of Medicine, Wonkwang University, Iksan, Korea. leejaehoon64@gmail.com

Abstract

BACKGROUND AND OBJECTIVES
Septoplasty is a commonly performed operation in otolaryngological practice. In cases of septal mucosal tearing, septal perforation can easily occur. The aim of this study was to investigate patients who underwent an autologous cartilage securing suture technique to prevent nasal septal perforation.
SUBJECTS AND METHODS
A total of 403 patients who underwent septoplasty alone or with endoscopic sinus surgery for the past three years were enrolled in this study. Septal mucosal tearing occurred in 27 patients. In group 1 (15 patients), autologous cartilage was inserted between the injured mucosa. In group 2 (12 patients), autologous cartilage was inserted between the injured mucosa with a securing suture technique. We investigated the septal perforation rate between the two groups.
RESULTS
In group 1, septal perforation occurred in 7 of 15 patients (46.6%) and in group 2 there were no perforations. The occurrence rate of perforation in group 2 was significantly lower than that in group 1 (p<0.01).
CONCLUSION
The securing suture technique of autologous cartilage can be an effective method for prevention of septal perforation during septal surgery.

Keyword

Nasal septal perforation; Prevention; Autologous cartilage; Suture
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