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Review
. 2017 Dec;37(6):486-492.
doi: 10.14639/0392-100X-1313.

Endoscopic repair of nasal septal perforation

M Cassano  1
Affiliations
Review

Endoscopic repair of nasal septal perforation

M Cassano. Acta Otorhinolaryngol Ital. 2017 Dec.

Abstract
in English, Italian

Surgical closure of nasal septal perforation is one of the most challenging procedures in nasal surgery. During the last decade, many endoscopic repair techniques have been described with a success of post-operative repair between 76.4% and 100%. The advantages of this approach are its minimal invasiveness (with no external scars), optimal exposure of the operative field (with better visibility of structures) and good control of perforation margins. The drawbacks are that it is time-consuming and can be difficult to perform, requiring years of endoscopic experience. In this review, all the relevant literature published in which repair was completely made endoscopically is overviewed, comparing the success rates, diameter of the perforation and materials used for the repair.

La riparazione della perforazione del setto nasale rappresenta delle più complesse procedure chirurgiche nasali. Nel corso dell’ultimo decennio, sono state descritte numerose tecniche endoscopiche di riparazione, con una percentuale di successo variabile fra il 76.4% e 100%. I vantaggi di questa tecnica sono la mini-invasività (nessuna cicatrice esterna), un’ottima esposizione del campo operatorio (con una migliore visualizzazione delle strutture anatomiche) e un buon controllo visivo dei margini della perforazione. Possibili svantaggi sono un maggior tempo operatorio ed una maggiore difficoltà di esecuzione che richiede curve di apprendimento di anni. In questa review riportiamo l’esperienza di numerosi lavori pubblicati sulla riparazione endoscopica delle perforazioni del setto nasale, mettendo a confronto la percentuale di successo, il diametro della perforazione e i materiali utilizzati per la riparazione.

Keywords: Endoscopic techniques; Nasal endoscopy; Nasal septal perforations; Septal perforations repair.

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Figures

Fig. 1.
Fig. 1.
A septal perforation of the cartilaginous part of the septum.
Fig. 2.
Fig. 2.
Number of publications on endoscopic techniques of septal perforation repair from 2002 to 2015.
Fig. 3.
Fig. 3.
Number of publications on open, closed and endoscopic techniques of septal perforation repair in the last three decades.
See this image and copyright information in PMC

References

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