Anterior ethmoidal artery septal flap for the management of septal perforation.

Arch Facial Plast Surg

Department of Otorhinolaryngology Head–Neck Surgery, Hospital Macchi, University of Insubria, Varese, Italy.

Published: April 2012

AI Article Synopsis

  • The study focused on achieving long-term closure of nasal septal perforations through a specific surgical technique.
  • It involved 11 patients who had their anterior septal perforations repaired using an endoscopic method with a flap taken from the nasal mucosa, supported by the anterior ethmoidal artery.
  • The results showed no complications and all patients maintained closure of their perforations throughout the follow-up period, which averaged 51 months.

Article Abstract

Objectives: To achieve long-term closure of nasal septal perforations and to describe our surgical technique for repairing septal defects.

Methods: We describe 11 patients who underwent endoscopic repair of anterior septal perforations with a unilateral septal flap pedicled by the anterior ethmoidal artery. The patients were followed up for a period of 12 to 132 months (median follow-up, 51 months).

Results: There were no complications after surgery. All cases of septal perforation remained closed for the duration of follow-up.

Conclusion: Closure of a perforated nasal septum through an endonasal technique can be achieved with a unilateral mucosal flap based on the anterior ethmoidal artery.

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Source
http://dx.doi.org/10.1001/archfacial.2011.44DOI Listing

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