gms | German Medical Science

83. 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.

16.05. - 20.05.2012, Mainz

Treatment in the perioperation with nasal septum perforation

Meeting Abstract

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  • corresponding author Tianzhen Zhang - Yuhuangding Hospital,Yantai, Yantai, P.R. China
  • Shaohong Jiang - Yuhuangding Hospital,Yantai, Yantai, P.R. China
  • Qiang Wang - Yuhuangding Hospital,Yantai, Yantai, P.R.China
  • li Wang - Yuhuangding Hospital,Yantai, Yantai, P.R. China
  • Qingquan Zhang - Yuhuangding Hospital,Yantai, Yantai, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod688

doi: 10.3205/12hnod688, urn:nbn:de:0183-12hnod6885

Veröffentlicht: 4. April 2012

© 2012 Zhang et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To investigate the nasal septum perforation perioperative principles and techniques.

Methods: A retrospective summary of 38 cases of nasal septum perforation surgery, including preoperative treatment, the choice of different surgical approaches, the choice of different surgical methods, postoperative treatment, which include 10 cases of anterior nostril, nasal alae cut in 4 cases, columella butterfly cut in 2 cases, endoscopic path in18 cases, lapial sulcus path in 2 cases, 2 cases of midface overturned path.

Results: The all patients (38 cases)were follow-up from January to June, only 1 perforation did not heal due to lack of experience and were healed by re-operation.

Conclusions: The success of the operation determined the perioperative each session, the surgeon should following minimally invasive, efficient and aesthetic principles to choose a different surgical approach and repair methods according to the size of perforation, location, structural characteristics of the nasal cavity. The complex tissue flap combined with heterogeneous (cow) acellular dermal matrix by endoscopic can increase the success rate in repairing the nasal septal perforation, surgeon's experience and to keep the nose moist is essential.