Comment and Response |

Importance of Mucosal Closure in Nasal Septal Perforation Repair

David H. Burstein, MD1,2; Russell W. H. Kridel, MD1,2
[+] Author Affiliations
1Division of Facial Plastic Surgery, Department of Otorhinolaryngology–Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston
2Facial Plastic Surgery Associates, Houston
JAMA Facial Plast Surg. 2013;15(4):322-323. doi:10.1001/jamafacial.2013.1504.
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Cho et al1 present a novel method for repairing nasal septal perforations that they claim is easy, cost-effective, and associated with low patient morbidity. The technique involves the endonasal insertion of a polyethylene orbital implant that spans the perforation in the submucoperichondrial plane. The septal flaps are advanced as much as possible, and an inferior turbinate mucosal graft (presumably a free graft) is used in larger perforations. The technique completely relies on epithelial migration to slowly resurface the implant with mucosa. While the authors have had some success in a small series of patients, it seems to create a significant burden on the patient with regard to postoperative nasal care.


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July 1, 2013
John J. W. Cho, MD; Regan C. Taylor, MD, MSc; Michael W. Deutschmann, MD; Shamir P. Chandarana, MD, MSc; Paul A. Marck, MD
1Division of Otolaryngology–Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada
2Faculty of Medicine (Dr Taylor), University of Calgary, Calgary, Alberta, Canada
JAMA Facial Plast Surg. 2013;15(4):275-279. doi:10.1001/jamafacial.2013.840.
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