REPAIR OF NASOSEPTAL PERFORATION BY AN EXTERNAL APPROACH USING DIFFERENT GRAFT MATERIALS
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The current study aimed to compare among different graft materials (tragus perichondrium. human acellular dermal graft and inferior turbinate flap) used for the repair of the nasoseptal perforation by an external approach. Patients and Methods: The study included 30 patients with traumatic nasal septa( perforation located in the anterior cartilnginous part of the nasal septum. AU patients underwent full history taking, complete clinical otorhinolaryngological examination including nasal examination by anterior rhirtoscopy and rigid 00 endoscope to detect the actual size, extent of the septa( perforation and to exclude the associated pathological lesions. The patients were divided into 3 groups: I. 11 and III according to the graft material used in the repair of the nasal septal perforation. Group!: included 10 patients in whom the repairs of the nasal septal perforation were performed by the use of tragus perichondrium graft, group II: Included 10 patients in whom the repairs of the nasal septcd perforation were performed by the use of human acellular dermal graft (Alloderm) and group III: included 10 patients in whom the repairs of the nasal septal perforation were performed by the use of the inferior turbinate flap. One surgical approach, the external transcolumellar approach, was performed in all patients for repair of the nasoseptal perforation. Patients were examined twice weekly in the first month then twice monthly for the next 5 months. for the success of closure of the septal perforation and for the occurrence of any complication.