gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Closure of nasoseptal defects in Germany: the current state of the art

Meeting Abstract

Suche in Medline nach

  • corresponding author Thoralf Stange - ENT-Department, Lukaskrankenhaus Neuss, Neuss, Germany
  • Hans-Jürgen Schultz-Coulon - Lukaskrankenhaus Neuss, HNO-Klinik, Neuss, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno105

doi: 10.3205/09hno105, urn:nbn:de:0183-09hno1056

Veröffentlicht: 22. Juli 2009

© 2009 Stange et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: For the last 20 years we have been successfully applying the bridge flap technique described by Schultz-Coulon for the closure of nasoseptal defects. Yet it is not known whether this powerful technique for the safe three layer septal repair has become a standard procedure. Furthermore up to date no data is available on the total numbers of nasoseptal defect operations in Germany.

Methods: In order to obtain information about their treatment modalities of symptomatic nasoseptal defects we did a questioning survey of all 157 ENT-departments in Germany. The mail questionnaire asked for the overall numbers of treated nasoseptal defects as well as for the applied surgical techniques in 2007.

Results: 123 questionnaires were evaluated (78.3%). In 2007 777 patients with symptomatic nasoseptal defects were treated in 123 ENT-departments. 31 clinics treated no patients with nasoseptal defects whereas 71 and 21 departments dealt with 1–10 or more than 11 patients respectively. 713 patients (91.8%) underwent surgery and 64 (8.2%) were treated by inserting a silicone button. In 556 patients (78%) the nasoseptal defect was closed applying the bridge flap technique by Schultz-Coulon.

Conclusion: In Germany, almost every symptomatic nasoseptal defect undergoes surgical closure. Yet the surgical approach is a frequent procedure only in few departments specialised in rhinosurgery. Due to its wide distribution the bridge flap technique is regarded to be a safe and reliable procedure. The prosthetic management by inserting a silicone button seems to play a minor role in the treatment of nasoseptal defects.