Endoscopic repair of nasal septal perforation with anterior ethmoidal artery flap using tunnel technique.

IF 2.2 3区医学 Q2 OTORHINOLARYNGOLOGY European Archives of Oto-Rhino-Laryngology Pub Date : 2024-11-01 Epub Date: 2024-07-23 DOI:10.1007/s00405-024-08843-2

Aeshah J Almahbub, Muath I Alsabih, Mona N Solaim, Wafaa M Alwihaibi, Yazeed A Alsuliman, Fahad S Alfawwaz, Abdulaziz A AlQahtani

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Abstract

Purpose: Septal perforations (SPs) present a distinct challenge. There are many described surgical approaches with variable success rates. The goal of this study is to describe a new technique in repairing SP.

Methods: A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the "tunnel technique" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.

Results: Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.

Conclusions: AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.

Level of evidence: Level 4.

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利用隧道技术在内窥镜下用乙状前动脉皮瓣修复鼻中隔穿孔。

目的：室间隔穿孔（SP）是一项独特的挑战。目前有许多成功率不一的手术方法。本研究旨在介绍一种修复鼻中隔穿孔的新技术：方法：本研究分析了 18 例前鼻中隔穿孔患者的系列病例，这些患者接受了基于前乙状动脉皮瓣（AEA）的 "隧道技术 "内窥镜修复术。收集了人口统计学数据、病因、穿孔大小和成功率：从2019年到2022年，共纳入18例患者，男性占多数（67%）。穿孔平均大小为 1.5 厘米（0.5- 3.6 厘米）。SP完全闭合的成功率为94%（n = 17/18），术后无并发症。对患者的随访时间为 7 ± 5.2 个月：结论：采用隧道技术进行AEA皮瓣重建可获得良好的SP闭合效果。隧道技术提供了有效的皮瓣支撑，并最大限度地减少了其他支持措施的使用。该技术是对其他房间隔穿孔修复技术的补充：证据等级：4级。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.