Septal Perforation Repair Using a Temporoparietal Fascia and Polydioxanone Plate Construct: A Multi-Institutional Analysis.

Autor: Davis SJ; Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Rossi Meyer M; Department of Otolaryngology - Head and Neck Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Misch E; Department of Otolaryngology - Head and Neck Surgery, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA., McLeod M; Vanderbilt University School of Medicine, Nashville, Tennessee, USA., Occhiogrosso J; Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey, USA., Yau J; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA., Mims M; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Oklahoma, Oklahoma City, Oklahoma, USA., Dedhia RD; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Sowder JC; Department of Otolaryngology - Head and Neck Surgery, LSU Health Sciences Center, New Orleans, Louisiana, USA.; Center for Facial Plastic and Reconstructive Surgery, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, USA., Shockley R; Department of Otolaryngology - Head and Neck Surgery, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA., Cerrati E; Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, The University of Utah School of Medicine, Salt Lake City, Utah, USA., Shaye D; Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA.; Division of Facial Plastic and Reconstructive Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA., Shockley W; Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA., Owen S; Department of Otolaryngology - Head and Neck Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.; Division of Facial Plastic and Reconstructive Surgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA., Stephan SJ; Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Division of Facial Plastic and Reconstructive Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jazyk: angličtina
Zdroj: Facial plastic surgery & aesthetic medicine [Facial Plast Surg Aesthet Med] 2023 May-Jun; Vol. 25 (3), pp. 212-219. Date of Electronic Publication: 2022 Sep 29.
DOI: 10.1089/fpsam.2021.0421
Abstrakt: Background: Nasal septal perforations (NSPs) are notoriously difficult to fix and closure can paradoxically lead to worsening of symptoms, prompting numerous techniques for repair including temporoparietal fascia (TPF)-polydioxanone (PDS) plate interposition grafting. Objectives: To compare rates of NSP closure with TPF-PDS interposition grafting among a variety of institutions with diverse environmental influences and patient-specific factors. Methods: Retrospective review of patients undergoing TPF-PDS interposition grafting at seven different U.S. institutions over 5 years. Outcomes include closure rate, self-reported symptom improvement, change in Nasal Obstruction Symptomatic Evaluation (NOSE) score, and postoperative complications. Results: Sixty-two patients (39 female) with a mean age of 41.5 years were included. Most common perforation location was anterior (53%), and average size was 1.70 cm 2 . NSP closure with symptomatic improvement was achieved in 95% of participants. Postoperative NOSE scores decreased on average by 42 points. Residual crusting occurred in 29% of patients, independent of external factors. Conclusions: TPF-PDS interposition grafting is highly effective for NSP repair in a wide variety of settings, and NOSE scores correspond well with patient-reported outcomes.
Databáze: MEDLINE