Journal of Rhinology 2014;21(1):37-40.
Published online May 31, 2014.
Prevention Technique Using Inferior Turbinate Mucosal Flap for Septal Perforation after Septoplasty
Jeong Suk Choi, Kwang Ho Jin, Min Woo Park, Sung Ho Kang, Dae Jun Lim, Myeong Sang Yu, Hyung Kim
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Konkuk University, Chungju, Korea.
비중격 만곡증 수술시 하비갑개 점막 절편을 이용한 비중격 천공 예방술
최정석, 진광호, 박민우, 강성호, 임대준, 유명상, 김보형
건국대학교 의학전문대학원 이비인후과학교실
Background and Objectives
Septal surgery is the most common cause of nasal septal perforation. The aims of this study are to introduce a new technique for the prevention of septal perforation during septal surgery by installingan inferior turbinate mucosal flap on the injured mucosal surface, and to determine its usefulness by evaluating the treatment outcomes.
Materials and Method
S: Between March 2012 and March 2013, 90 cases of conventional septoplasty were performed. Bilateral mucoperichondrial tears on corresponding areas occurred in 4 cases. Autologous cartilage was inserted and then both sides were repaired using inferior turbinate mucosal flaps. Follow-up periods ranged from 5 to 6 months.
Three of the four patients had successful outcomes with complete repair of injuries. The remaining patient had a septal perforation.
The technique of using an inferior turbinate mucosal flap may be an easy, effective method for the prevention of septal perforation during septal surgery.
Key Words: Septal Surgery;Septal Perforation;Nasal Mucosa

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