Simultaneous Septal Perforation Repair with Septorhinoplasty: A 31-Year Experience

Facial Plastic Surgery : FPS
Russell W H Kridel, Sean William Delaney

Abstract

Septal perforation repair and septorhinoplasty (SRP) each present unique surgical challenges. However, in many instances, these procedures may be performed together successfully. In this study, the authors aim to determine the safety and effectiveness of combining primary or revision SRP and septal perforation repair via an open approach. A retrospective review was carried out of all consecutive patients who had SRP and septal perforation repair via an open approach between 1986 and 2017 in the senior author's practice. Perforation closure in surgery and at the patient's last follow-up, resolution of presenting symptoms, cosmetic results, and complications were analyzed. Records for 141 patients who had simultaneous septal perforation repair and SRP via an open approach, with a mean follow-up of 3.24 years, were reviewed. The mean anterior-posterior perforation dimension was 1.41 ± 0.89 cm, and the mean vertical perforation dimension was 1.16 ± 0.59 cm. The most common etiologies for septal perforation were previous SRP (35.4%) and septoplasty (24.1%). An overall 93.6%, perforation closure, 91.1% symptom relief, and 91.2% patient satisfaction with cosmetic results were achieved. Septal perforations under 1.5 cm in height were c...Continue Reading

Citations

Jun 6, 2020·OTO Open : the Official Open Access Journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation·G Nina LuShaun C Desai
Jul 7, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Raj D DedhiaScott J Stephan
Nov 3, 2020·The Journal of Craniofacial Surgery·Michael J EliasonGregory Capra
Aug 23, 2020·International Journal of Pediatric Otorhinolaryngology·Cullen M TaylorStephen F Bansberg
Feb 17, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Cullen M TaylorMichael J Marino
Mar 2, 2021·Brazilian Journal of Otorhinolaryngology·Serdar ÖzerTevfik Metin Önerci
Jul 4, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Raj D DedhiaScott J Stephan
May 12, 2021·The Annals of Otology, Rhinology, and Laryngology·Stephen F BansbergGregory S Neel
Oct 13, 2021·American Journal of Rhinology & Allergy·Jae Woong HwangSang Hag Lee
Nov 24, 2021·Facial Plastic Surgery : FPS·Mattis BertlichFrank Haubner
Jan 4, 2022·International Forum of Allergy & Rhinology·Janmaris Marin FerminMichael T Yim

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