Surgical treatment of nasal septum perforation
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| Nasal septum perforation closure in İstanbul, Turkey - Surgical treatment of nasal septal perforation in İstanbul - Open technique repair of nasal septal perforations in Turkey - Repair of nasal septal perforation - Septal perforation repair surgery |
In the above photograph, nasal septum perforation due to cocaine use is seen. The graft taken from the nasal septum cartilage was slid forward and the perforation was closed.
Nasal septum perforations are those that occur due to various causes in the nasal septum. When the diameter of these holes exceeds 2 cm, it is very difficult to be surgically closed. Surgical repair of septal perforations can be performed using "closed technique" or "open technique". Treatment success is increased if the perforation is smaller and the graft which larger than the hole diameter and the tissue can be placed on the midline, providing support under the mucosa of perforation edges.
In open septum perforation closure operation, after the incision made in the columella region, the nose septum is dislocated backwards. In the open technique, there are many modified perforation closure techniques. Pedicle techniques are also described, in which bone laminates behind the septum are included, especially in perforations greater than 2 cm. Which technique is chosen depends on the size and location of the perforation.
In the larger holes, various tissues such as rib cartilage, ear clipper cartilage, temporal muscle fascia can also be used.
In the adjacent photographs, an open technique septum perforation repair operation is performed and the cartilage graft obtained from the septum is seen. If the cartilage dimensions are larger than the hole dimensions, it can affect the chances of successful surgery. When you click on photos, you can see them on a separate page, in big size.
.jpg "Nasal septum perforation closure in İstanbul, Turkey - Surgical treatment of nasal septal perforation in İstanbul - Open technique repair of nasal septal perforations in Turkey - Repair of nasal septal perforation - Septal perforation repair surgery") |
| Nasal septum perforation closure in İstanbul, Turkey - Surgical treatment of nasal septal perforation in İstanbul - Open technique repair of nasal septal perforations in Turkey - Repair of nasal septal perforation - Septal perforation repair surgery |
.jpg "Nasal septum perforation closure in İstanbul, Turkey - Surgical treatment of nasal septal perforation in İstanbul - Open technique repair of nasal septal perforations in Turkey - Repair of nasal septal perforation - Septal perforation repair surgery") |
| Nasal septum perforation closure in İstanbul, Turkey - Surgical treatment of nasal septal perforation in İstanbul - Open technique repair of nasal septal perforations in Turkey - Repair of nasal septal perforation - Septal perforation repair surgery |
In the above photograph, a rib cartilage prepared for use in a patient with extensive septum perforation is seen. This cartilage can be used with septum cartilage and other tissues. When you click on photos, you can see them on a separate page, in big size.
On the above video, large septum perforation is seening on teh nasal endoscopic examination.
Similar link >> Intranasal Closure of Small Septum Perforations With Double-sided Cartilage Button Graft
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