J Rhinol.  2019 Nov;26(2):127-131. 10.18787/jr.2019.26.2.127.

Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

• Park YS
• Jeong DY
• Choi JY

• KMID: 2465546
• DOI: http://doi.org/10.18787/jr.2019.26.2.127

Abstract

Trauma is the predominant cause of septal perforation resulting from surgical operation for nasal septum including submucosal resection. A 24-year-old female patient was diagnosed with nasal septal perforation after septoplasty. The patient manifested no specific symptoms except for occasional nasal bleeding, whistling and stuffy nose. Nasal septal perforation measuring 5×5 mm² in size was observed at the anterior portion of nasal septum. The present study involves the repair of nasal septal perforation employing a polycaprolactone (PCL) plate and temporalis fascia graft, and discusses the consequences of complete closure of perforation without complications.

Keyword

Septum; Perforation; Repair; Polycaprolactone plate; Temporalis fascia

MeSH Terms

Epistaxis
Fascia*
Female
Humans
Nasal Septal Perforation*
Nasal Septum
Nose
Singing
Transplants*
Young Adult

Figure

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  Fig. 1. Preoperative endoscopic view showing 5×5 mm2 septal perforation in the nasal cavity.

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  Fig. 2. Preoperative paranasal sinus-computed tomography (PNS CT) shows septal perforation. A: sagital view. B: axial view.

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  Fig. 3. The PCL plate was larger than the size of the perforation and the temporalis fascia.

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  Fig. 4. The PCL plate was covered with temporalis fascia.

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  Fig. 5. The PCL plate and temporalis fascia complex were insert-ed into the perforation site.

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  Fig. 6. Postoperative nasal cavity reveals complete closure of septal perforation. A: POD 3 weeks. B: POD 6 months.

Reference

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