Prevention of Septal Perforation Using a Combination of Crushed Cartilage and Thin Silastic Sheet During Septoplasty

Young Gun Kim; 김상준; 배우용

doi:10.18787/jr.2021.00378

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저자정보: Young Gun Kim (Dong-A University) 김상준 (동아대학교) 배우용 (동아대학교)

저널정보: 대한비과학회 Journal of Rhinology Journal of Rhinology Vol.28 No.3

발행연도: 2021.11

수록면: 158 - 163 (6page)

DOI: 10.18787/jr.2021.00378

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Background and Objectives: The aim of the present study was to investigate the effects of a combination of crushed cartilage and thin silastic sheet for patients with a risk of septal perforation during septoplasty.Materials and Methods: A total of 195 people who underwent septoplasty surgery at Dong-A University Hospital from January 2019 to December 2020 were enrolled retrospectively. Among 195 people, our surgical method was provided for those with damage to both septal mucosa. The cartilage was collected, crushed with the cartilage crusher, and inserted between perforated mucosa. After the cartilage insertion, a 0.254-mm-thin silastic sheet was designed to cover both sides of the perforated septal mucosa. Next, a penetrating suture was placed. After thin silastic was applied on both mucosa, a 1-mm-thick silastic sheet was inserted on both sides of the nasal cavity and penetrating sutures were placed on the anterior and inferior septum. The operation concluded after packing both sides of the nasal cavity using non-absorbable packing material. The packing was removed on the second day after the operation, and the nasal cavity condition was checked every week. Thick silastic sheets were removed 5 days after surgery, and thin silastic sheets were maintained until both septal mucosa healed.Results: Of nine total cases, only one 78-year-old male experienced septal perforation at the cartilage portion two months after surgery. In this case, no other action was taken to cover the perforation site because he reported no symptoms or discomfort during the 9 months after surgery. In the other eight cases, both septal mucosa healed completely, and there were no complications.Conclusion: This method with crushed cartilage and silastic sheets to fill the defect after septal surgery is thought to help prevent postoperative perforation at no additional cost, and further research is needed.

Background and Objectives: The aim of the present study was to investigate the effects of a combination of crushed cartilage and thin silastic sheet for patients with a risk of septal perforation during septoplasty. Materials and Methods: A total of 195 people who underwent septoplasty surgery at Dong-A University Hospital from January 2019 to December 2020 were enrolled retrospectively. Among 195 people, our surgical method was provided for those with damage to both septal mucosa. The cartilage was collected, crushed with the cartilage crusher, and inserted between perforated mucosa. After the car tilage insertion, a 0.254-mm-thin silastic sheet was designed to cover both sides of the perforated septal mucosa. Next, a penetrating su ture was placed. After thin silastic was applied on both mucosa, a 1-mm-thick silastic sheet was inserted on both sides of the nasal cavity and penetrating sutures were placed on the anterior and inferior septum. The operation concluded after packing both sides of the nasal cavity using non-absorbable packing material. The packing was removed on the second day after the operation, and the nasal cav ity condition was checked every week. Thick silastic sheets were removed 5 days after surgery, and thin silastic sheets were maintained until both septal mucosa healed. Results: Of nine total cases, only one 78-year-old male experienced septal perforation at the cartilage portion two months after surgery. In this case, no other action was taken to cover the perforation site because he reported no symptoms or discomfort during the 9 months after surgery. In the other eight cases, both septal mucosa healed completely, and there were no complications. Conclusion: This method with crushed cartilage and silastic sheets to fill the defect after septal surgery is thought to help prevent post operative perforation at no additional cost, and further research is needed.

#Nasal septum perforation #Septoplasty #Silastic #Crushed cartilage

참고문헌 (16)

참고문헌 신청

Quinn JG / 2013 / Postoperative management in the prevention of complications after septoplasty : a systematic review / Laryngoscope 123(6):1328~1333

최정석 / 2014 / 비중격 만곡증 수술시 하비갑개 점막 절편을 이용한비중격 천공 예방술 / Journal of Rhinology 21(1):37~40

윤두환 / 2000 / Causes and Clinical Characteristics of the Nasal Septal Perforation / Journal of Rhinology 7(1):64~68

Kridel RW / 1999 / Septal perforation repair / Otolaryngol Clin North Am 32(4):695~724

이재용 / 2006 / 비중격 수술 시 비중격 천공의 예방을 위한 자가 연골과섬유소 응고제 사용의 유용성：예비 보고 / 대한이비인후-두경부외과학회지 49(6):611~615

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Young Gun Kim

소속기관 동아대학교

주요연구분야 의약학 > 임상의학 > 정신과학 의약학 > 임상의학 > 이비인후과학

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Kim Sangjun

소속기관 Dong-A University College of Medicine

주요연구분야 의약학 > 임상의학 > 이비인후과학

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