7.Endoscopic surgery for nasal septal perforation.
Qian HUANG ; Bing ZHOU ; De-min HAN ; Hua-chao LIU ; Ming LIU ; Luo ZHANG ; Yong-jie ZHANG ; Dan-ni WANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(8):579-581
OBJECTIVETo describe the relevant factors of endoscopic surgery in patients with nasal septal perforation.
METHODSTwenty-three patients with nasal septal perforation were treated under nasal endoscope. Four kinds of reconstruction materials were used to accomplish the closure of perforation: residual osseous septum or temporalis fascia, inverting septal mucoperichondrial flap, autologous connective tissue insert overlaid with mucous flaps and turbinate flap. The reconstructed septum was packed by moist dressing with silicone or plastic splints.
RESULTSSeven patients underwent direct closure. Inverting flap repair for five cases, shifting flap closure for ten cases, and repair with turbinate flap in one case. During the follow-up ranging from four weeks to seven months, the successful reconstruction was achieved in 19 cases (82.6%). The problems in the remaining four cases were: mucosal flap displacement, fascia flap shrank and so caused reperforation, two perforations present with only the larger one repaired, the mucosal flap was smaller in size than the perforation.
CONCLUSIONSIntranasal endoscopic reconstruction surgery is a reasonable management for nasal septal perforation.
Endoscopy ; Female ; Humans ; Male ; Nasal Septum ; injuries ; Nose Diseases ; surgery ; Otorhinolaryngologic Surgical Procedures ; methods
10.Partial horizontal laryngectomy and epiglottiplasty.
fuHui, HUANG ; Binquan, WANG ; Weijia, KONG ; Shusheng, GONG ; Shuxin, WEN
Journal of Huazhong University of Science and Technology (Medical Sciences) 2006;26(1):108-10
In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngeal and hypopharyngeal carcinomas were retrospectively analyzed, whose tumors were located at the lateral margin of epiglottis, aryepiglottic fold, medial wall of piriform fossa and were treated by the lateral horizontal laryngectomy and anaplasty of epiglottis. The results showed that all cases took food by mouth in postoperative 9-14 days and subjected to decannulation in postoperative 9-15 days. Three cases had postoperative hoarse voice. The free-disease survival rate of 3 years was 71.4% in 14 cases followed up after the first surgical therapy, and the overall free-disease survival rate of 3 years was 85.7% after the second surgical therapy. It was concluded that the manipulations of the lateral horizontal laryngectomy and epiglottiplasty were simple. It could alleviate the postoperative symptoms of aspiration and bucking remarkably and shorten their postoperative recovery time, yet does not lower the survival rate of patients if laryngocarcinoma or hypopharyngeal carcinoma cases were properly selected.
Carcinoma, Squamous Cell/*surgery
;
Epiglottis/*surgery
;
Hypopharyngeal Neoplasms/surgery
;
Laryngeal Neoplasms/*surgery
;
Laryngectomy/*methods
;
Otorhinolaryngologic Surgical Procedures/methods
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