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Temporoparietal Fascia Graft and Polydioxanone Plate Repair of Nasal Septal Perforation
Journal article   Open access   Peer reviewed

Temporoparietal Fascia Graft and Polydioxanone Plate Repair of Nasal Septal Perforation

Monica K. Rossi Meyer, Ali R Abtahi and Scott R. Owen
Annals of otology, rhinology & laryngology, Vol.133(1), pp.63-68
01/2024
DOI: 10.1177/00034894231183497
url
https://doi.org/10.1177/00034894231183497View
Published (Version of record) Open Access

Abstract

Background: Surgical repair of septal perforations has been historically cumbersome. Recently described techniques utilizing interposition grafting with polydioxanone (PDS) plates wrapped in a temporoparietal fascia (TPF) graft have reported successful closure in 90% to 100% of cases. Our objective is to expand the investigation into the use of interposition grafts of polydioxanone plates combined with a temporoparietal fascia graft for nasal septal perforation repair. Methods: Retrospective review of the medical record was performed for all septal perforation repairs using the TPF-PDS plate interposition graft technique from August 1, 2017 to March 1, 2021 at the University of Iowa. Minimum post-operative follow-up was 1 month. Results: Our series included 31 patients with symptomatic nasal septal perforations. Thirteen patients underwent open while 18 patients underwent endonasal graft placement. The mean perforation size was 1.49 cm2. The mean post-operative follow-up was 11.5 months. Conclusions: Repair of symptomatic nasal septal perforations using an interposition graft of polydioxanone plate wrapped in temporoparietal fascia demonstrated an overall success rate of 90%.
 temporoparietal fascia graft interposition graft nasal septal perforation polydioxanone plate

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