We Performed Extracorporeal Septum Perforation Repairing Surgery!

Extracorporeal Nasal Septum Perforation Closure Operation!

Extracorporeal septum perforation closure in Istanbul - Extracorporeal septum perforation closure in Turkey - Extracorporeal closure of nasal septal perforations subcutaneous tissue - Combining rhinoplasty with extracorporeal septal perforation repair - Repair of nasal septum Perforation

In a patient with nasal septum perforation, a portion of the cartilage portion of the nasal septum was taken out of the nasal cavity, and the hole was sutured to the cartilage area by moving the cartilage graft. This septum fragment was reintroduced to the nasal septum as a whole. The silicone splints were removed after 1 month of nasal removal and the nasal septum perforation was successfully closed as seen in the photos above. In the lower endoscopic nasal photograph, a new thin mucosal area covering the cartilage and a white vignette of the cartilage reflected from the bottom are seen in the perforated area. After removal of the silicones, the contact with air covers the normal nasal mucosa hole areas, usually darker pink within a few months.

Almost all of the septum cartilages removed from the nasal septum were re-inserted into the nose.

At the same time, the patient underwent nose surgery. In nasal septum perforation surgeries, the following adverse conditions may affect the success of surgery:

- altered nasal anatomy

- limited nasal septum cartilage (large perforations alone with mucosal flaps may not be possible to close successfully!)

- the drying effect of abnormally accelerated air flow and the decrease of blood supply in the mucous membranes or the emergence of mucosal infection areas, more prominent in the mucosae at the edges of the perforation

- grafts that are used for perforation closure in wide perforations, contact with air passing through the nose and re-hole due to drying

As a matter of fact, as the perforation diameter grows, these negative features can be prolonged and many types can be written ...

In the nasal septum perforation closure operations, the technique of turning mucosal flaps alone is successful in small holes; the diameter of the bore increases considerably. In particular, the closure of the perforation by cutting the lower nostrils means the elimination or reduction of the unique tissues responsible for nasal uplift, heating, humidification and pressurization tasks in patients who already have a reduction in nasal functions associated with accelerated airflow. Therefore, I do not prefer additional anatomical changes and additional nasal damage as I do not like.

When the perforation of the nasal septum exceeds 2 cm in diameter, there is a serious reduction in the rate of complete closure. Particularly in the size of 4 cm or more, the chance of success with a single operation is even lower.

Combining rhinoplasty with extracorporeal septal perforation repair

In the above photo, the patient who underwent operation of the extracorporeal septum perforation repair operation at the same time nose rhinoplasty, and there is an external appearance of the nose after 3 months.

Below, I have also included other photos of extracorporeal septum perforation repair during and after the operation.

At the end of this page, you can find links to different processes and videos that I have previously published on nasal septum perforation closure.