ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Endoscopic Sandwich Technique for Moderate Nasal Septal Perforations

by Sue Pondrom • November 1, 2012

  • Tweet
  • Email
Print-Friendly Version

What would be a good surgical technique for the treatment of nasal septal perforations with diameters of 1 to 2 cm?

Background: Surgical therapy is required for nasal septal perforation, which is a complete defect of cartilage or bone and mucosa in the bilateral nasal septum. Although many approaches and techniques have been reported, the success rate fluctuates between 75 percent and 96 percent, with a reperforation rate of 12 to 48 percent. It is especially a challenge when the perforation is greater than 1 cm, because there is no standard choice of approach and technique.

You Might Also Like

  • Fibrin Glue Makes Septal Perforations Easier to Repair
  • Septal Deformity Grading Helps Nasal Airway Obstruction Diagnosis
  • Polydioxanone Foil Can Be Used to Support the Nasal Septum
  • Ethmoidal Arteries with Pedicled Septal Floor Rotational Flaps Are Ideal for Endoscopic Skull Base Reconstruction
Explore This Issue
November 2012

Study design: Retrospective clinical research.

Setting: Department of Otolaryngology, First Affiliated Hospital, and Otolaryngology Institute at Sun Yat-sen University, Guangzhou, Guangdong, China.

Synopsis: The authors described their sandwich technique for 1 to 2-cm perforations. They said the advantages include better surgical vision under endoscope, easier manipulation and a high success rate. Following vasoconstriction, incision, elevation and graft preparation, the sandwich implantation included cartilage or bone plate coated by two pieces of quadriceps fascia bilaterally and interposed between two nasal septum mucosal flaps and a fourth layer of middle turbinate mucosa placed over the perforation as an overlay graft if necessary, followed by biological glue (fibrin sealant) and then layering of Gelfoam gauze to secure and support the grafts in position, supplemented with expandable sponge packing. At the end of the three-month follow-up, 12 patients (92.3 percent) were completely healed and one case received incomplete closures without any postoperative symptoms. There were no complications.

Bottom line: The transnasal endoscopic sandwich technique for repairing moderate nasal septal perforation (1-2 cm) has a high success rate and is easy to perform.

Reference: Chen FH, Rui X, Deng J, Wen YH, Xu G, Shi JB. Endoscopic sandwich technique for moderate nasal septal perforations. Laryngoscope. 2012;122(11):2367-2372.

Filed Under: Literature Reviews, Rhinology Tagged With: nasal septal perforation, surgical techniqueIssue: November 2012

You Might Also Like:

  • Fibrin Glue Makes Septal Perforations Easier to Repair
  • Septal Deformity Grading Helps Nasal Airway Obstruction Diagnosis
  • Polydioxanone Foil Can Be Used to Support the Nasal Septum
  • Ethmoidal Arteries with Pedicled Septal Floor Rotational Flaps Are Ideal for Endoscopic Skull Base Reconstruction

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.