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Review
. 2020 Aug;28(4):212-217.
doi: 10.1097/MOO.0000000000000631.

Optimizing septal perforation repair techniques

Raj D Dedhia  1   2 , Seth J Davis  3 , Scott J Stephan  3   4
Affiliations
Review

Optimizing septal perforation repair techniques

Raj D Dedhia et al. Curr Opin Otolaryngol Head Neck Surg. 2020 Aug.

Abstract

Purpose of review: Multiple successful techniques and approaches for nasal septal perforation repair have been described, yet consistency in perforation and outcome metrics is required to identify the optimal approach to repair. The present article will review the recent literature.

Recent findings: Computational fluid dynamic studies continue to expand our understanding of the airflow dynamics in nasal septal perforation and after repair. Combining rhinoplasty and nasal septal perforation repair in appropriately selected patients can be safely done with excellent results. There has been a rise in utilization of a temporoparietal fascia with polydiaxonone plate construct for septal perforation repair with excellent outcomes.

Summary: The present review provides the reconstructive surgeon with an update on nasal septal perforation repair and describes a recently popularized technique of temporoparietal fascia-polydiaxonone plate for perforation reconstruction.

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References

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    1. Gold M, Boyack I, Caputo N, Pearlman A. Imaging prevalence of nasal septal perforation in an urban population. Clin Imaging 2017; 43:80–82.
    1. Kridel RWH, Delaney SW. Simultaneous septal perforation repair with septorhinoplasty: a 31-year experience. Facial Plast Surg 2018; 34:298–311.
    1. Khong GC, Leong SC. Correlation of sinonasal symptoms with the size and position of nasal septal perforations. Laryngoscope 2019; [Epub ahead of print].
    1. Kridel RWH, Delaney SW. Approach to correction of septal perforation. Facial Plast Surg Clin North Am 2019; 27:443–449.

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