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Septal perforations closure utilizing the backwards extraction-reposition technique of the quadrangular cartilage

Published online by Cambridge University Press:  29 June 2007

Adolfo Sarandeses-García ,
Giorgio Sulsenti ,
Manuel López-Amado  and
José Martínez-Vidal
Adolfo Sarandeses-García*
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
Giorgio Sulsenti
Affiliation:
Ospedale Generale San Pietro Terme, Bolonia, Italy.
Manuel López-Amado
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
José Martínez-Vidal
Affiliation:
Departments of Otolaryngology, Hospital Juan Canalejo La Coruña, Spain
*
Address for correspondence: Adolfo Sarandeses-García, Betanzos, 2-6°I 15004 La Coruña, Spain. Fax: 07-34-981-178052.
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Abstract

Nasal septal perforations are anatomical defects of the nasal septum, causing dynamic alterations in nasal physiology which may lead to variable symptoms and otolaryngological referral.

Repair of nasal septal perforations continues to remain a difficult surgical problem, and nowadays there is no definitive solution for their successful surgical closure.

Thirty patients with small- or medium-sized anterior nasal septal perforations were treated with a simple technique of backwards extraction-reposition of the quadrangular cartilage. Prior nasal septal surgery and repeated cautery were the most common cause of perforation. After a minimum follow-up of two years the success rate for relief of symptoms and closure of the perforation was 87 per cent.

This technique showed very good results in small-sized and selected cases with medium-sized perforations, but the mucosal dissection employed is not suitable for medium to large perforations.

Keywords

Nasal septumFistulaProsthesis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 8 , August 1999 , pp. 721 - 724
Copyright
Copyright © JLO (1984) Limited 1999

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