비중격 수술 시 비중격 천공의 예방을 위한 자가 연골과섬유소 응고제 사용의 유용성:예비 보고

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자료유형: 학술저널

저자정보: 이재용 이용만 신재민 이정열 이승원 이종대

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제6호

발행연도: 2006.1

수록면: 611 - 615 (5page)

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연구주제

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연구배경

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Background and Objectives：Septal surgery is one of the common causes of nasal septal perforation. In cases of bilateral septal mucosal tearings, autologous cartilage is usually inserted between the injured mucosa. Additionally, we applied the fibrin glue on the margin of injured mucosal surface for the fixation of inserted cartilage and for the promotion of mucosal regeneration. The aim of this study was to evaluate the efficacy of this method in the prevention of nasal septal perforation. Subjects and Method：A total 378 cases of septal surgery was performed during past 2 years. Bilateral septal mucosal injuries at the corresponding area occurred in 32 patients. In group 1 (23 patients), autologous cartilage was inserted between the injured mucosa. In group 2 (9 patients), autologous cartilage was inserted and fibrin glue was applied on the mucosal margin of cartilage insertion site. We compared the perforation rate between two groups. Results：In group 1, nasal septal perforation occurred 8 of 23 patients (34.7%) and in group 2, 1 of the 9 patients (11.1%) had perforation. Although the occurrence rate of perforation was significantly lower in group 2, statistical significance between two groups were absent because of the small number of patients who experienced the septalperforation. Conclusion：The application of fibrin glue after cartilage insertion at the defect site is thought to be very useful in the prevention of nasal septal perforation. We report these results as a preliminary data for the future study about the usefulness of fibrin glue in the prevention of nasal septal perforation. (Korean J Otolaryngol 2006;49:611-5)

#비중격 수술·비중격 천공·예방·자가 연골·섬유소 응고제. #Septal surgery·Nasal septal perforation·Prevention·Autologous cartilage·Fibrin glue.

참고문헌 (15)

참고문헌 신청

/ 1904 / Die submucose fenesterresektion and nase-scheidewand 16 : 362 ~

/ 1929 / Replacement of the lower end of the dislocated septalcartilage versus submucous resection of the dislocated end of the septalcartilage 9 : 282 ~

/ 1947 / Corrective surgery of the external nasal physiology 26 : 147 ~

/ 1980 / Nasal septal perforation:Preventionand management 5 : 452 ~ 9

/ 1989 / Nasal septal perforation and nasal obstruction 22 : 333 ~ 50

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