지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2000.1
- 수록면
- 64 - 68 (5page)
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초록· 키워드
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Background and Objectives：As septoplasty has been performed more often in recent years, the incidence of septal perforationas one of its complications has also been increased. Authors aimed to elucidate the etiology and clinical characteristics ofthe septal perforation. Materials and Methods：Fifty-eight patients with septal perforation were diagnosed between 1991 and1998 at the Department of Otolaryngology, Asan Medical Center. Of them, 46 were male and 12 were female, and their agesranged from 14 to 76 years of age (mean：47 years). Medical records were retrospectively reviewed to investigate the etiology,clinical symptoms, and treatment results. Results：The most common cause of septal perforation was associated with nasal surgery(41 patients；72%) such as submucous resection (22 patients), septoplasty (10 patients), and transseptal pituitary tumorsurgery (7 patients). Malignancy involving the nasal septum was the second common cause (8 patients；14%). Nasal stuffinesswas the most common complaint (36 patients；62%), followed by crust formation (24 patients；41%), and nasal bleeding (7patients；12%). Around three quarters of patients had perforation smaller than 10 mm in diameter and the cartilaginous septumwas the most common site of perforation (88%). Eleven patients not responding to medical treatment underwent surgical repairwith a success rate of 91%. Conclusions：This study shows that most of the septal perforations are caused by previous nasalsurgery involving the nasal septum. Surgeons should be very careful not to make a bilateral corresponding mucosal tear duringthe septal surgery. If this occurs, meticulous suture-repair with interposition of graft should be applied. For the chronic symptomaticperforation that is refractory to medical treatment, surgical repair using flap and grafts could be performed with a successrate of 90%.
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