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Laryngorhinootologie 2021; 100(03): 224-232
DOI: 10.1055/a-1309-0509
CME-Fortbildung

Der chirurgische Septumperforationsverschluss

Closure of Nasal Septal Perforation
Marc Scheithauer
,
Jörg Lindemann
,
Fabian Sommer
,
Marlene Corinna Cosima Wigand
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Die symptomatische Septumperforation kann zu einer deutlichen Einschränkung der Lebensqualität führen und stellt eine Herausforderung in der Rhinochirurgie dar. Die Patienten beklagen Verkrustungen in der Nase, rezidivierende Epistaxis und eingeschränkte Nasenatmung. Die 4-Brückenlappen-Technik nach Schultz-Coulon [1] [2] mit Interposition von autologem Knorpel des Cavum conchae ist eine etablierte OP-Methode zum Verschluss von Septumperforationen.

Abstract

Symptomatic nasal septal perforations can lead to a substantial restriction in the quality of life of patients and present a distinct surgical challenge for the otolaryngologist/head and neck surgeon. Symptomatic patients complain about nasal crusting, recurrent nosebleeds and nasal obstruction. The so called 4 bridge-flap technique including the interposition of autologous ear cartilage presents an established surgical method for closure of a septal perforation. In the present article, the surgical procedure is described in detail.

Schlüsselwörter

Septumperforation - Septumplastik - Septum-Button - Schultz-Coulon-Verfahren - 4-Brückenlappen-Technik

Key words

nasal septal perforation - 4 bridge-flap technique - nasal crusting - recurrent nosebleeds - nasal obstruction


Publication History

Article published online:
26 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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