Peculiarities of the surgical treatment of nasal septum perforations

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Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

Ovchinnikova E.V.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

Peculiarities of the surgical treatment of nasal septum perforations

Authors:

Lopatin A.S., Ovchinnikova E.V.

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Journal: Russian Bulletin of Otorhinolaryngology. 2012;77(2): 13‑17

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To cite this article:

Lopatin AS, Ovchinnikova EV. Peculiarities of the surgical treatment of nasal septum perforations. Russian Bulletin of Otorhinolaryngology. 2012;77(2):13‑17. (In Russ.)

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)

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The objective of the present study was the retrospective analysis of the results of nasal septum perforation (NSP) surgery. We report our experience with the operations on the perforated nasal septum based on the treatment of a total of 84 patients. Plastic repair of the perforated nasal septum was undertaken in 54 of them. The endonasal approach with the use of local tissue flaps was employed in 47 cases. Additional bucco-gingival flaps were used in another 4 patients and the open rhinoplastic approach in 3 cases. The complete closure of nasal septum perforations was achieved in 34 (63%) patients. The reduction of the size of perforations was documented in 17 (31%) patients whereas in the remaining three the perforation size slightly increased. The surgical technique and peculiarities of the postoperative management of the patients are described; the possible causes of NSP relapses following surgery are discussed.

Keywords:

nasal septum

nasal septum perforation

plastic closure

Authors:

Lopatin A.S.

Polyclinic No 1, General Management Department of the Presidential Administration, Moscow, Russia

Ovchinnikova E.V.

Kafedra bolezneĭ ukha, gorla i nosa Pervogo MGMU im. I.M. Sechenova Minzdravsotsrazvitiia Rossii, Moskva

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