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Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 1996; 7(2):374-379

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1996.7.2.374

원저

직경 20 mm이하의 비중격천공 수술

황종호1, 진도순1, 이병화1, 변준영1, 양철민1, 채요한1
Below 20 mm Diameter on Septal Perforation Repair Operation
Jong Ho Hwang1, Do Soon Jin1, Byeong Hwa Lee1, Jun Yeong Byun1, Cheol Min Yang1, Yo Han Chai1
1동강병원 이비인후과
1Department of Otorhinolaryngology, Dong Kang Hospital, Ulsant Korea

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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:

  1. The common, symptoms were crusting (100%) and nasal obstruction (89%).

  2. 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.

  3. 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.

  4. 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.

  5. Postoperative results showed complete closure in 8 patients (89%) and incomplete closure in 1 patient.

  6. 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.

  7. 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.

Keywords: Repair of septal perforation