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직경 20 mm이하의 비중격천공 수술
Published Online: May 31, 2020
ABSTRACT
The nasal septal perforation is a disease which can be often seen in the field of otorhinolaryngology and management is known to be somewhat difficult.
The causes of nasal septal perforations are numerous, currently, perforation as a complication of septal surgery probably remains the commonest cause.
From June 1989 to September 1996, nine patients suffering from nasal septal perforation were repaired surgically.
The results are as follows:
The common, symptoms were crusting (100%) and nasal obstruction (89%).
The causes of nasal septal perforations were previous nasal surgery in 5 patients, traffic accident in 1 patient, lead and copper intoxication in 1 patient, tuberculosis in 1 patient and unknown etiology in 1 patient.
The sizes of septal perforation were less than 10 mm in 2 patients 10∼15 mm in 5 patients and 15∼20 mm in 2 patients.
Among the operation methods, bipedicled septal mucoperichondrial flap in 2 patients, deep temporalis muscle fascia graft in 5 patients, tragal cartilage with perichondrium graft was used in 2 patients.
Postoperative results showed complete closure in 8 patients (89%) and incomplete closure in 1 patient.
According to different perforation sizes, we used different operation method; Bipedicled septal mucoperichondrial flap was used less than 10 mm, temporalis muscle fascia was used in 10∼15 mm and tragal cartilage with perichondrium graft was used almost 20 mm.
We concluded that bipedicled mucoperichondrial flap, deep temporalis muscle fascia graft and tragal cartilage with perichondrium graft were enough methods for septal perforation surgery below 20 mm diameter.