No abstract available.
Diagnosis* ; Nasal Septal Perforation*

The nasal septal perforation is an inadvertent complication of septal surgery which is caused by traumatic, iatrogenic, caustic or inflammatory reasons. Repair of the perforation is indicated when complications such as whistling sound, marginal crusting, frequent nasal bleeding and low-grade perichondritis develop. There is no standard surgical method for repair of a septal perforation. The size, site and the causing factor of perforation determine closure methods. A septal perforation using the concha bullosa flap of middle turbinate was successfully repaired.
Epistaxis ; Nasal Septal Perforation ; Nasal Septum ; Singing ; Turbinates*

Repair of nasal septal perforation is a challenging problem to surgeons. Many surgical techniques which were reported through many literatures did not show high success rate constantly. The aim of this study was to examine the surgical technique of sandwich graft using inferior turbinate mucoperiosteal free graft and ear cartilage via open rhinoplasty approach. MATERIAL & METHODS: From May 2008 to December 2010, 7 patients who were suffered from nasal septal perforation underwent sandwich graft using ear cartilage and inferior turbinate mucoperiosteal free graft via open rhinoplasty approach. RESULTS: Mean age was 45+/-10.1 years (28~60 years old). We followed up 7 patients for 2 months after the surgery. Six of the 7 patients had a complete closure and one patient achieved incomplete closure. One patient who had incomplete closure was treated by primary closure again. CONCLUSIONS: Sandwich graft of inferior turbinate mucoperiosteal free graft and ear cartilage via open rhinoplasty approach showed high success rate and relatively easy surgical technique.
Ear ; Ear Cartilage ; Humans ; Nasal Septal Perforation ; Rhinoplasty ; Transplants ; Turbinates

OBJECTIVE: This study was performed to evaluate the frequency of nasal septal perforation at the suture fixation site of a silastic sheet inserted during nasal surgery. METHODS: Seven hundred and twenty-one patients with silastic sheet insertion during common nasal surgeries were examined. The frequency of perforations and subjective symptoms of the patients were evaluated. RESULTS: Nasal septal perforation at the suture fixation site occurred in seven patients (0.97%). In three patients, perforations occurred immediately after removal of the sheet, while four patients developed perforations 2 to 4 weeks later. In most cases, perforations were small and did not exceed 2 to 3 mm in diameter. No patient complained of nasal symptoms related to the septal perforation postoperatively. CONCLUSION: The frequency of the septal perforation at the suture fixation site of a silastic sheet was very low and subjective symptoms were absent.
Dimethylpolysiloxanes ; Humans ; Nasal Septal Perforation ; Nasal Septum ; Nasal Surgical Procedures ; Sutures

Fungus ball is commonly found in the paranasal sinus, mostly in the maxillary, followed by sphenoid, ethmoid and frontal sinuses in order of frequency. However, fungus ball in the nasal cavity is extremely rare. In the present case, fungus ball in the nasal cavity was so large that it destroyed the nasal septum and caused nasal septal perforation. We report a rare case of fungus ball in the nasal cavity in a 60-year-old woman, who was successfully treated by nasal endoscopic surgery.
Female ; Frontal Sinus ; Fungi ; Humans ; Nasal Cavity ; Nasal Septal Perforation ; Nasal Septum

OBJECTIVES: Nasal septal perforation is an anatomic defect of the cartilaginous and bone tissues of the nasal septum. Many approaches and techniques to repair nasal septal perforations have been reported on. The purpose of this paper is to report on our surgical technique and the results of the treatment for nasal septal perforations. METHODS: From May 2001 to March 2008, 14 patients (12 males and 2 females; mean age: 41.3 yr) were enrolled. The mean perforation size was 15 mm, and all the perforations were located at the cartilaginous portion. Our surgical technique is based on an endoscope-assisted endonasal approach, with dissection of unilateral advanced mucosal flaps with using a temporalis fascia graft. The follow-up periods ranged from 3 to 23 months (mean follow-up period: 8 months). RESULTS: Using our surgical technique on 14 patients, 12 cases (85.7%) of septal perforation were closed without complication. The remaining two patients (14.3%) had incomplete closures (about 2-3 mm) without any significant symptoms related to the remaining perforation. CONCLUSION: Our technique is a viable procedure with a high success rate for achieving closure of nasal septal perforations. It has the advantages of shortening the operative time, no external incision and avoiding any other perforation during the operation. Therefore, we consider it to be a good alternative for repairing nasal septal perforations.
Bone and Bones ; Fascia ; Follow-Up Studies ; Humans ; Male ; Nasal Septal Perforation ; Nasal Septum ; Operative Time ; Transplants

BACKGROUND AND OBJECTIVES: Septal surgery is the most common cause of nasal septal perforation. The aims of this study are to introduce a new technique for the prevention of septal perforation during septal surgery by installingan inferior turbinate mucosal flap on the injured mucosal surface, and to determine its usefulness by evaluating the treatment outcomes. MATERIALS AND METHODS: Between March 2012 and March 2013, 90 cases of conventional septoplasty were performed. Bilateral mucoperichondrial tears on corresponding areas occurred in 4 cases. Autologous cartilage was inserted and then both sides were repaired using inferior turbinate mucosal flaps. Follow-up periods ranged from 5 to 6 months. RESULTS: Three of the four patients had successful outcomes with complete repair of injuries. The remaining patient had a septal perforation. CONCLUSIONS: The technique of using an inferior turbinate mucosal flap may be an easy, effective method for the prevention of septal perforation during septal surgery.
Cartilage ; Follow-Up Studies ; Humans ; Nasal Mucosa ; Nasal Septal Perforation ; Turbinates*

OBJECTIVES: The chrome-induced olfactory alterations is caused by inhalation of chromic acid, a highly corrossive and toxic materials. And nasal septum perforation(NSP) has been suspected with possible causative factor of olfactory alterations. To our knowledge, there has been no report of the detailed findings of the olfactory alterations in chrome exposed subjects without nasal septum perforation(NSP). So we present the results of olfactory function test measured by T&T olfactometer and olfactometer perception test among chromium exposed workers without NSP. METHODS: We performed this study in 25 study subjects and 25 control subjects matched with age, alcohol and smoking. All of subjects are man. We performed olfactory function test measured by T&T olfactometer and olfactometer perception test. RESULTS: 1) The age distribution of the subjects involved in this study was from 20 to 54 years old (average 33.3 years old) and the mean duration exposed to chromium was from 64. 9 months. 2) The olfactory function was checked by detection and recognition thresholds in five odorants. The detection thresholds of exposed group dealing with chromium were significantly increased in A and B ordorants than nonexposed group. The recognition thresholds of exposed group were significantly increased in D ordorants than nonexposed group. 3) The mean threshold of olfactometer perception test of exposed group were more increased than nonexposed group. But thresholds difference did not show statistical significance, 4) The detection thresholds of A and D ordorants, recognition threshold of C ordorants and thresholds of olfactometer perception test were increased in the relation with duration of chrome exposure. CONCLUSIONS: There has been no remarkable alterations in olfactory sense (TkT olfactometer and Olfactometer Perception Test) in subjects without nasal septum perforation(NSP) exposed to chromic acid.
Age Distribution ; Chromium* ; Humans ; Inhalation ; Middle Aged ; Nasal Septal Perforation* ; Nasal Septum* ; Odors ; Smoke ; Smoking

A button battery in the nose of children is an unusual foreign body, which can cause liquefaction necrosis with subsequent severe local tissue destruction. All button batteries as foreign bodies in the nasal cavity should be removed immediately to prevent severe local tissue damage, resulting in late sequelae, such as septal perforation or stenosis of the nasal meatus. We present two cases of nasal septal perforation followed by button battery foreign body and discuss the special aspects of this foreign body.
Child ; Constriction, Pathologic ; Foreign Bodies ; Humans ; Nasal Cavity ; Nasal Septal Perforation* ; Necrosis ; Nose

A button battery in the nose of children is an unusual foreign body, which can cause liquefaction necrosis with subsequent severe local tissue destruction. All button batteries as foreign bodies in the nasal cavity should be removed immediately to prevent severe local tissue damage, resulting in late sequelae, such as septal perforation or stenosis of the nasal meatus. We present two cases of nasal septal perforation followed by button battery foreign body and discuss the special aspects of this foreign body.
Child ; Constriction, Pathologic ; Foreign Bodies ; Humans ; Nasal Cavity ; Nasal Septal Perforation* ; Necrosis ; Nose