Objectives: The current study aimed to compare among different graft
materials (tragus perichondrium, human acelluiar dermal graft and inferi
or turbinate flap! used for the repair of the nasoseptal perforation by an
external approach.
Patients and Methods: The study included 30 patients with traumat
ic nasal septal perforation located in the anterior cartilaginous part of the
nasal septum. All patients underwent full history taking, complete clinical
otorhinolaryngological examination including nasal examination by ante
rior rhinoscopy and rigid 0 endoscope to detect the actual size, extent of
the septal perforation and to exclude the associated pathological lesions.
The patients were divided into 3 groups: 1, II and III according to the graft
material used in the repair of the nasal septal perforation. Croup I: includ
ed 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 septal perforation were per
formed by the use of human acelluiar dermal graft (Alloderm) and group
III: included 10 patients in whom the repairs of the nasal septal perfora
tion were performed by the use of the inferior turbinate flap. One surgical
approach, the external transcolurnellar 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-
Results: The study |
