Nasal Septal Perforation Repair with an Inferior Turbinate Flap and Acellular Dermal Matrix

Abstract Nasal septal perforation is an uncommon disorder that can cause disturbance of nasal physiology. The perforations can vary widely in size, location, and symptomatology. Many different closure techniques have been described in the literature; however, no gold standard has been recognized. Th...

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Bibliographic Details
Published in:Surgery journal (New York) 2021-01, Vol.7 (1), p.e26-e29
Main Authors: Mirzai, Saeid, Lee, Andrew H., Chi, John J.
Format: Article
Language:English
Subjects:
acellular dermal matrix allograft
inferior turbinate flap
nasal septal perforation
Original
Original Article
polydioxanone plate
septal perforation repair
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Description
Summary:Abstract Nasal septal perforation is an uncommon disorder that can cause disturbance of nasal physiology. The perforations can vary widely in size, location, and symptomatology. Many different closure techniques have been described in the literature; however, no gold standard has been recognized. The choice of surgical technique usually depends on the characteristics of the perforation and surgeon experience. Due to the goal of perforation repair being restoration of normal nasal physiology, techniques with the best outcomes have been those resurfacing the septum with nasal respiratory mucosa. Here we present our novel surgical method for large (> 2 cm) septal perforation closure using a modification of the inferior turbinate flap repair using a polydioxanone plate and the acellular dermal matrix allograft (Alloderm, Allergan Inc.).
ISSN:2378-5128
2378-5136
DOI:10.1055/s-0040-1713418