Document Detail

Predictive factors for the outcome of nasal septal perforation repair.
MedLine Citation:
PMID:  20576372     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVES: The aim of this study was to determine the important predictive factors for successful repair of nasal septal perforation.
MATERIALS AND METHODS: In this study, we examined 35 symptomatic patients (27 males and 8 females, aged from 16 to 76 years) with a nasal septal perforation. In order to correlate pre- and intra-operative factors to the respective results, preoperative symptoms, etiologies, size of the perforation, operation methods and postoperative results from the patients were reviewed and analyzed using logistic regression.
RESULTS: Nasal obstruction, crust and epistaxis were common preoperative symptoms. In most cases, perforations were observed to evolve after the patients' trauma caused from their previous nasal surgery experience. The overall reperforation rate was 48% and turned out to be associated with both large perforation size and unilateral mucosal flap coverage. However, we found no strong evidence that other factors such as graft materials and medical conditions were related with surgical failure. The surgical operations for our examinees resulted in complete healing of epistaxis and whistling, whereas nasal obstruction and crusting persisted after the surgeries. In addition, symptom improvement was negatively correlated with large perforation size and nasal trauma history including previous nasal surgeries.
CONCLUSION: Precise and complete coverage with bilateral flaps might be the most important factor for successful closure in a septal perforation. Moreover, both trauma history and large perforation size might be at risk for persistent symptoms after septal perforation repair.
Il Joon Moon; Sang-Wook Kim; Doo Hee Han; Seung-Tae Kim; Yang-Gi Min; Chul Hee Lee; Chae-Seo Rhee
Publication Detail:
Type:  Journal Article     Date:  2010-06-23
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  38     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  52-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Detecting gravesoil with headspace analysis with adsorption on short porous layer open tubular (PLOT...
Next Document:  Auditory function in patients with systemic lupus erythematosus.