Are polydioxanone plates combined with temporoparietal fascia the best technique for repair of nasal septal perforation?

• Type: Article in International Scientific Journal
• Date: 2025

Authors

Sousa, PS (Author) Other; Pinto, JV (Author) Other; Coutinho, G (Author) Other; Pereira, DA (Author) Other; Carla Pinto Moura (Author) FMUP; Orfao, T (Author) Other

Journal

Title: Acta Oto-Laryngologica

Vol. 145

Pages: 324-328

ISSN: 0001-6489

Publisher: Taylor & Francis

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-018-0YF

DOI: 10.1080/00016489.2025.2461652

Abstract (EN): BackgroundThe repair of nasal septal perforations is challenging. Interposition of polydioxanone (PDS) plates combined with fascia graft have been described in the literature with high success rates.AimsThis study aims to present a case series on the closure of nasal septal perforation using this technique and to evaluate its outcomes.Material and methodsRetrospective evaluation of patients who underwent surgical repair of nasal septal perforations with interposition fascia graft and PDS plates from 2020 to 2023.ResultsNine patients were evaluated, 66.7% were male and the mean age was 40.7 years. The perforation size ranged from 0.9 to 4.5 cm (largest diameter). All procedures were performed by an open approach and all patients received interposition grafts of PDS plates - eight cases combined with a temporoparietal fascia graft and one combined with a rectus abdominis muscle fascia graft. Eight patients (88.9%) achieved complete closure of the perforation. No other complications were reported.Conclusions and significanceInterposition temporoparietal fascia graft combined with PDS plates could be a highly effective technique, demonstrating good functional and anatomic outcomes with low morbidity at the donor site. This composite can be applied to small and large perforations as surgical success does not appear to be affected by the defect size. (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) (PDS) (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) 2020 (sic)(sic) 2023 (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) PDS (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic) 9 (sic)(sic)(sic), 66.7% (sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic) 40.7 (sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic) 0.9 (sic) 4.5 (sic)(sic)((sic)(sic)(sic)(sic)).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic) PDS (sic)(sic)(sic)(sic)(sic)--(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(88.9%)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic) PDS (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic), (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic).

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5