OBJECTIVES Repair of nasal septal perforation is a challenging procedure. Numerous methods have been described to close nasoseptal perforations with varying degrees of success. The lack of a consensus on nasoseptal perforation repair reflects the shortcomings of each method. There has been a paucity of literature on nasoseptal repair in the paediatric age group. We report our experience of repa...

The trans-septal suturing method has been developed in septoplasty as an alternative to packing. This study was carried out to compare the postoperative results of trans-septal suturing with the anterior Merocel packing technique. The study involved 697 patients who underwent septoplasty. Following surgery, patients were randomly divided into two groups, one with trans-septal suturing and the o...

OBJECTIVES/HYPOTHESIS To report a technique for septal perforation repair that does not rely on intraoperative mucosal closure of the perforation defect. STUDY DESIGN Case series with prospective and retrospective data collection. METHODS Nine patients received multilayer interposition grafts and no attempt at intraoperative mucosal closure for repair of septal perforations. Eight patients ...

UNLABELLED Alloplastic materials can be used together with tissue and structure to close nasal septal perforation. AIM to test cellulose use in the closure of septal perforation in rabbits and to compare fibrosis, inflammation, vascular congestion and graft integrity. MATERIALS AND METHODS Fifteen rabbits. The rabbits were divided into two groups: CONTROL Five rabbits and Bionext and fibr...

Objective. We report a case of poor healing after endonasal surgery for nasal septal perforation ten years after cocaine abuse was ended. Method. The clinical findings are presented. Results. A 35-year-old man presented with a small nasal septal perforation caused by cocaine abuse. He had stopped using it ten years previously so surgery was considered safe. The perforation was surgically closed...

AIMS Surgical treatment of nasal septal perforation remains a challenging field of rhinology. A large variety of techniques and grafts with promising results have been introduced for perforation repair. However, the use of fascia or fascia with periosteum has not been previously evaluated for a large sample of patients. METHODS During the years 2007-2014, 105 operations were performed and 98 ...

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 mon...

Since sudden resistance increase in the pulmonary circulation leads to right ventricular overdistension and subsequent failure, the question was studied whether or not the existence of an experimentally produced interatrial septal defect could prevent an overstretching of the right mvocardium in acute pulmonary stenosis. It was found that myocardial overdistention could be prevented by a small ...

OBJECTIVE To determine the efficacy of computed tomography in creating custom nasal septal buttons. DESIGN Retrospective chart review and telephone follow-up. SETTING Tertiary care referral center. SUBJECTS Ninety-five patients with symptomatic septal perforations repaired with custom Silastic septal buttons fashioned from reformatted computed tomographic images. Follow-up greater than 1 ...

Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman...