Long-term success rate of the reconstruction spontaneous versus postoperative nasoseptal defects

Introduction:

The cause of spontaneous nasoseptal defects is still speculative in most cases today.

It was therefore interested, whether a defect in the nasal septum develops again in the long term after an complete reconstruction of the nasal septum in the event of spontaneous defects. For comparison, the long-term results for postoperative nasoseptal defects should be used.

Methods:

From 2009 to 2013 the author performed a total of 294 nasoseptal reconstructions. 77 spontaneous and 135 post-operative defects (212 in total) could be examined or interviewed by telephone. The nasoseptal defects were divided into four groups according to their size. All operations were carried out as three-layer reconstruction according to the extended bridge-flap concept according to Schultz-Coulon or with modifications of this method. The follow-up period was between 5 and 9 years.

Results:

In total, 119 of the 135 postoperative nasoseptal defects (88,1%) could be completely closed in the long term (spontaneous defects 87,0%). Small postoperative nasoseptal defects could be completely reconstructed in the long term to 94,2% (spontaneous defects 95,8%), medium-sized postoperative defects of 94,5% (spontaneous defects 91,6%) and large only 62,9% (spontaneous defects 64,7%). Almost all recurrence defects developed within the first year after the reconstruction. After that, only a few recurrence defects were observed.

Conclusion:

In both spontaneous and postoperative nasoseptal defects, the permanent success rates of a complete closure do not differ significantly. The follow-up period after such operations should be at least 1 year.

Publikationsverlauf

Publikationsdatum:
23. April 2019 (online)