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. |
