Endoscopic repair of nasal septal perforation with anterior ethmoidal artery flap using tunnel technique.

Autor: Almahbub AJ; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia., Alsabih MI; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia., Solaim MN; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia., Alwihaibi WM; Department of Otolaryngology-Head and Neck Surgery, King Saud Medical City, Riyadh First Health Cluster, Riyadh, Saudi Arabia., Alsuliman YA; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia., Alfawwaz FS; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia., AlQahtani AA; Department of Otolaryngology-Head and Neck Surgery, King Fahad Medical City, Riyadh Second Health Cluster, 59046, 11525, Riyadh, Saudi Arabia. qahtani24@hotmail.com.; Department of Otolaryngology-Head and Neck Surgery, King Saud Medical City, Riyadh First Health Cluster, Riyadh, Saudi Arabia. qahtani24@hotmail.com.; Faculty of Medicine, Alfaisal University, Riyadh, Saudi Arabia. qahtani24@hotmail.com.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Nov; Vol. 281 (11), pp. 5857-5862. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1007/s00405-024-08843-2
Abstrakt: Purpose: Septal perforations (SPs) present a distinct challenge. There are many described surgical approaches with variable success rates. The goal of this study is to describe a new technique in repairing SP.
Methods: A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the "tunnel technique" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.
Results: Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.
Conclusions: AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.
Level of Evidence: Level 4.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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