We Performed Large Nasal Septal Perforation Repairing Surgery

Nasal Septal Perforation Repair "Perpendicular Plate of Ethmoid Bone With Vomer + Rib Cartilage Were Used"

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

We performed an open technique, nasal septal hole closure surgery on a patient with an ovoid-shaped, very large septal perforation of traumatic origin, approximately 6x3 cm in size. After the columellar incision was made, the alar cartilages were dissected in the vertical plane. Partially, perpendicular plate of ethmoid bone and vomer bone were removed with the help of scissors and dissector. With the green injector tip, a hole was made in the bone lamella, cartilage grafts were prepared from the rib cartilages and these bone were sutured together with the lamellas. The septum perforation was dissected in the vertical plane. The edges of the perforation were depepithelized. It was placed vertically in the perforation area. It was observed that the mucosal grafts were in contact with the placed bone + cartilage grafts on both sides. Internal silicone splints with cut external protrusions were placed in both nasal cavities. The columellar incision area was sutured. Bleeding control was done and the operation was terminated. It was planned to keep the silicone splints in the nose for at least 3 months. Nasal irrigation with a mixture of rifampicin + distilled serum was recommended to the patient.

Before the surgery, endoscopic nasal exam video:



nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul
In the patient I shared with you here, a very large septum perforation was closed. In this procedure, it is unlikely to achieve complete millimetric closure with a single operation. Even some surgeons do not agree to perform this operation. Here, it is aimed to normalize nasal physiology as much as possible and to prevent nasal hyperventilation and related nasal mucosal changes. In the long term, I will share the results of this patient with you.

Below are photos of the endoscopic nasal examination before the operation, showing the nasal septum perforation.

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul

nasal septal hole closure,repairing of  septum perforation, septum perforation surgery in istanbul



Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com 
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47



  
 


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