Document Detail

The management of nasoseptal perforation.
MedLine Citation:
PMID:  10878833     Owner:  NLM     Status:  MEDLINE    
The most recent comprehensive review of the literature on repair of nasoseptal perforations dates back to 1985, since then there have been developments in the repair of very large perforations, previously thought to have been untreatable by surgical methods. The purpose of this article is to review the various methods which have been used to repair perforations, and their reported efficacies, with particular reference to the problem of large perforations. The article reviews the methods in use for providing mucosal cover for perforations; the options for a supporting layer; and the more recent solutions to mending perforations greater than 4 cm diameter. In conclusion, nasoseptal perforations of up to 4 cm diameter have been reported to be closed reliably with bilateral mucoperichondrial flaps and a connective tissue autograft. However, for larger perforations the only methods successfully used have been a three stage, composite graft and intranasal tissue expanders.
L K Cogswell; T E Goodacre
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  British journal of plastic surgery     Volume:  53     ISSN:  0007-1226     ISO Abbreviation:  Br J Plast Surg     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-07-14     Completed Date:  2000-07-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  2984714R     Medline TA:  Br J Plast Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  117-20     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, Radcliffe Infirmary, Oxford, UK.
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MeSH Terms
Connective Tissue / transplantation
Nasal Septum / injuries*,  surgery*
Otorhinolaryngologic Surgical Procedures / methods
Surgical Flaps

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

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