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Facial Plast Surg 2024; 40(04): 476-484
DOI: 10.1055/s-0043-1773768
Original Research

Closure of Nasal Septal Perforations Using a Diced Cartilage in Fascia Graft

Cornelia Spatz
1   Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Bavaria, Germany
,
Thomas Kühnel
1   Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Bavaria, Germany
,
Achim Stegmann
2   Department of Otorhinolaryngology, University Hospital Erlangen, Erlangen, Bavaria, Germany
,
Franziska Schwan
1   Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Bavaria, Germany
,
Klaus Bumm
3   Department of Otorhinolaryngology, Caritasklinikum Saarbrücken, Saarbrücken, Saarland, Germany
,
Christopher Bohr
1   Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Bavaria, Germany
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Abstract

The spectrum of surgical techniques in the repair of nasal septal defects is wide. The objective of this study was to assess the feasibility of using a diced cartilage in fascia (DC-F) graft for successful closure of nasal septal perforations and to evaluate symptom reduction. This was a retrospective study of 18 patients undergoing surgical repair of symptomatic nasoseptal perforations of different etiologies using a DC-F graft from 2020 until 2021. The procedure was feasible in all of the 18 patients. Reconstruction of septal defects with a DC-F graft led to reduction of crust formation, reduction of epistaxis, and improvement of nasal breathing in 13 out of the 18 patients when seen for their 2-month follow-up. Reperforation occurred in three cases, leaving defects of 1, 7, and 5 mm in diameter. In one case, the reperforation was symptomatic. A DC-F graft proved to be a reliable and reproducible method for the closure of nasoseptal perforations of variable sizes, of different locations, and of different etiologies.

Keywords

costal cartilage - nasal septal perforations - rhinologic procedures - diced cartilage - fascia graft


Publication History

Article published online:
28 August 2023

© 2023. Thieme. All rights reserved.

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