Introduction. Technical difficulties and failures are also determined by the fact that it is extremely rare to close the perforation by simple mutual displacement and cross-linking of the flaps of mucoperichondrium.
The aim of this article is to develop optimal methods for plastic closure of septum perforations in children based on a retrospective analysis of results of surgical treatment.
Materials and Methods. Plastic surgery closure of septum perforations using a newly developed method is described for 14 patients aged 6–15 years.
Discussion. An analysis of the etiological factors affecting disease development is carried out, and the authors’ technique of closing the subtotal perforations is described in detail, adapted for the child's age, and for preoperative preparation and postoperative management. In all operated patients, the postoperative period proceeded smoothly, without complications associated with the operation. A follow-up observation for more than a year after surgery showed no recurrence of septal perforation in patients from both groups.
Conclusion. A careful analysis of the causes, clinical manifestations, localization and sizes of septum perforation in comparison with the anatomical dimensions of intranasal structures allows one to individually select the optimal surgical method.
Apostolidi, KG, Epifanov SA, Krainik IV, Beksha IS, Krainik VI, Michailov AI. Plastic surgery for elimination of deformation and perforation of the nasal septum. Journal N I Pirogov Natl Med Surg Center. 2011;3:114-5. (in Russian).
Molokov KV. Perforation of the nasal septum - causes and treatments. MD thesis; 2007. (in Russian).
Meyer R. Nasal septal perforations must and can be closed. Anesthetic Plast Surg. 1994;18(4):345-55. doi: 10.1007/BF00451339.
Ustyanov YA. To the problem of the treatment of nasal septum perforation. Rus Rhinol. 1996; 65-72. (in Russian).
Lopatin AS, Ovchinnikova EV. Peculiarities of surgical treatment of perforations of the nasal septum. Vestn Otorinolar. 2012;2:13-7 (in Russian).
Yunusov AS, Rybalkin SV. A method of plastic closure of subtotal perforation of the nasal septum. RF Patent for invention no.2246910 of 27.02.2005. (in Russian).
Murakami CS, Kriet JD, Ierokomos AP. Nasal reconstruction using the inferior turbinate mucosal flap. Arch Facial Plast Surg. 1999;1(2):97-100. doi: 10.1001/archfaci.1.2.97.
Friedman M, Ibrahim H, Ramakrishnan V. Inferior turbinate flap for repair of nasal septal perforation. Laryngoscope. 2003;133(8):1425–8. doi: 10.1097/00005537-200308000-00031.
Kilty SJ, Brownrigg PJ, Safar A. Nasal septal perforation repair using an inferior turbinate flap. J Otolaryngol. 2007; 36(1):38-42. doi: 10.2310/7070.2005.0168.
Tastan E, Sozen T. Oblique split technique in septal reconstruction. Facial Plast. Surg. 2013;29(6):487-91. doi: 10.1055/s-0033-1360599.
Chua DY, Tan KH. Repair of nasal septal perforations using auricular conchal cartilage graft in children: report on three cases and literature review. J. Pediatr Otorhinolaryngol. 2006;70(7):1219-24. doi: 10.1016/j.ijporl.2005.12.021.
Rusetsky YY, Spiranskaya OA. Latysheva EN, Chernishenko IO, Machambetova EA. The experience of the plastic closure of perforation of the nasal septum in children and adolescents. Rus Rhinol. 2016;24:10-5. (in Russian).
Yunusov AS., Dayhes NA., Rybalkin SV. Reconstructive rhinosurgery in children. Moscow: TRIADA Publishers; 2016. pp. 110–6. (in Russian).
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