CoChat
Sign Up
Cited by 138Nasal Surgery and Airway StudiesReconstructive Facial Surgery TechniquesHead and Neck Surgical Oncology

The DOI matches its Crossref record.

Nasal septal perforation repair: predictive factors and systematic review of the literature

Kim, Sang-Wook, Rhee, Chae-Seo·2012·Current Opinion in Otolaryngology & Head & Neck Surgery
DOI 10.1097/moo.0b013e32834dfb21
Open this paper in CoChat — free account

Abstract

PURPOSE OF REVIEW: Although numerous surgical techniques have been introduced thus far in order to achieve the surgical closure of nasal septal perforation, the repair of nasal septal perforation is still challenging for surgeons and operative techniques are not standardized. Furthermore, predictive factors for successful closure have not been elucidated. This review aimed to investigate predictive factors for complete closure of nasal septal perforation. RECENT FINDINGS: The size of perforation was the most significant factor for complete closure. Surgical failure occurred more frequently in patients with large perforation (>2 cm) than those with small-to-moderate perforation (≤2 cm). The bilateral coverage over the perforation with vascularized mucosal flap also helped complete closure. Interposition of grafts appeared to assist complete closure, although it was statistically insignificant. SUMMARY: This review provides information for surgeons on how to predict surgical outcomes of the repair of nasal septal perforation and which surgical techniques to choose in order to obtain better results.

Overview

Integrity signals

Registry

Crossref · 10.1097/moo.0b013e32834dfb21

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Surgical techniques for septal perforations depend on the size and location of the obstruction.

    “Surgical techniques depend on the size and location of the obstruction [223,262-269].”

    From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [265]

Citations

Cites

No references could be resolved yet.

Research works printed but not linked: 65

  1. Diamantopoulos, 2001, The investigation of nasal septal perforations and ulcers., J Laryngol Otol, 115, 541, 10.1258/0022215011908441 · DOI · Paper page
  2. Wong, 2010, Outcome of surgical closure of nasal septal perforation., J Laryngol Otol, 124, 868, 10.1017/S0022215110000745 · DOI
  3. Blind, 2009, Treatment of nasal septal perforations with a custom-made prosthesis., Eur Arch Otorhinolaryngol, 266, 65, 10.1007/s00405-008-0690-0 · DOI
  4. Moon, 2011, Predictive factors for the outcome of nasal septal perforation repair., Auris Nasus Larynx, 38, 52, 10.1016/j.anl.2010.05.006 · DOI
  5. Goh, 2007, Different surgical treatments for nasal septal perforation and their outcomes., J Laryngol Otol, 121, 419, 10.1017/S002221510700566X · DOI
  6. Teymoortash, 2011, Experiences with a new surgical technique for closure of large perforations of the nasal septum in 55 patients., Am J Rhinol Allergy, 25, 193, 10.2500/ajra.2011.25.3603 · DOI
  7. Mansour, 2011, Repair of nasal septal perforation using inferior turbinate graft., J Laryngol Otol, 125, 474, 10.1017/S0022215110002744 · DOI
  8. Li, 2011, Pedicled local mucosal flap and autogenous graft for the closure of nasoseptal perforations., Acta Otolaryngol, 131, 983, 10.3109/00016489.2011.571282 · DOI
  9. Giacomini, 2011, Large nasal septal perforation repair by closed endoscopically assisted approach., Ann Plast Surg, 66, 633, 10.1097/SAP.0b013e3181dec776 · DOI
  10. Islam, 2009, Repair of nasal septal perforation with cross-stealing technique., Am J Rhinol Allergy, 23, 225, 10.2500/ajra.2009.23.3299 · DOI
  11. Lee, 2008, Surgical treatment using an allograft dermal matrix for nasal septal perforation., Yonsei Med J, 49, 244, 10.3349/ymj.2008.49.2.244 · DOI
  12. Lee, 2008, Endoscopic repairment of septal perforation with using a unilateral nasal mucosal flap., Clin Exp Otorhinolaryngol, 1, 154, 10.3342/ceo.2008.1.3.154 · DOI
  13. Shikowitz, 2007, Vascularized mucoperiosteal pull through flap for closure of large septal perforation: a new technique., Laryngoscope, 117, 750, 10.1097/MLG.0b013e318030ac77 · DOI
  14. Ribeiro, 2007, Technical advances in the correction of septal perforation associated with closed rhinoplasty., Arch Facial Plast Surg, 9, 321, 10.1001/archfaci.9.5.321 · DOI
  15. Pedroza, 2007, A review of 25-year experience of nasal septal perforation repair., Arch Facial Plast Surg, 9, 12, 10.1001/archfaci.9.1.12 · DOI
  16. Ceylan, 2007, Upper lateral cartilage inner mucoperichondrial flap technique for the repair of nasal septal perforation., ORL J Otorhinolaryngol Relat Spec, 69, 245, 10.1159/000101546 · DOI
  17. Andre, 2006, Nasal septum perforation repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines., J Plast Reconstr Aesthet Surg, 59, 829, 10.1016/j.bjps.2005.11.010 · DOI
  18. Schultz-Coulon, 2005, Three-layer repair of nasoseptal defects., Otolaryngol Head Neck Surg, 132, 213, 10.1016/j.otohns.2004.09.066 · DOI
  19. Stoor, 2004, Bioactive glass and turbinate flaps in the repair of nasal septal perforations., Ann Otol Rhinol Laryngol, 113, 655, 10.1177/000348940411300811 · DOI
  20. Newton, 2003, Nasal septal perforation repair using open septoplasty and unilateral bipedicled flaps., J Laryngol Otol, 117, 52, 10.1258/002221503321046649 · DOI
  21. Friedman, 2003, Inferior turbinate flap for repair of nasal septal perforation., Laryngoscope, 113, 1425, 10.1097/00005537-200308000-00031 · DOI
  22. Ambro, 2003, Nasal septal perforation repair with porcine small intestinal submucosa., Arch Facial Plast Surg, 5, 528, 10.1001/archfaci.5.6.528 · DOI
  23. Woolford, 2001, Repair of nasal septal perforations using local mucosal flaps and a composite cartilage graft., J Laryngol Otol, 115, 22, 10.1258/0022215011906939 · DOI
  24. Sarandeses-Garcia, 1999, Septal perforations closure utilizing the backwards extraction-reposition technique of the quadrangular cartilage., J Laryngol Otol, 113, 721, 10.1017/S0022215100145025 · DOI
  25. Foda, 1999, The one-stage rhinoplasty septal perforation repair., J Laryngol Otol, 113, 728, 10.1017/S0022215100145049 · DOI
  26. Kridel, 1998, Septal perforation repair with acellular human dermal allograft., Arch Otolaryngol Head Neck Surg, 124, 73, 10.1001/archotol.124.1.73 · DOI
  27. Nunez-Fernandez, 1998, Bone and temporal fascia graft for the closure of septal perforation., J Laryngol Otol, 112, 1167, 10.1017/S0022215100142744 · DOI
  28. Hussain, 1997, Modified tragal cartilage: temporoparietal and deep temporal fascia sandwich graft technique for repair of nasal septal perforations., J Laryngol Otol, 111, 435, 10.1017/S0022215100137569 · DOI
  29. Mina, 1994, Closure of nasal septal perforations., J Otolaryngol, 23, 165
  30. Teichgraeber, 1993, The management of septal perforations., Plast Reconstr Surg, 91, 229, 10.1097/00006534-199302000-00004 · DOI
  31. Arnstein, 1989, Surgical considerations in the open rhinoplasty approach to closure of septal perforations., Arch Otolaryngol Head Neck Surg, 115, 435, 10.1001/archotol.1989.01860280033012 · DOI
  32. Kridel, 1986, Septal perforation closure utilizing the external septorhinoplasty approach., Arch Otolaryngol Head Neck Surg, 112, 168, 10.1001/archotol.1986.03780020048011 · DOI
  33. Belmont, 1985, An approach to large nasoseptal perforations and attendant deformity., Arch Otolaryngol, 111, 450, 10.1001/archotol.1985.00800090064010 · DOI
  34. Fairbanks, 1980, Nasal septal perforation: prevention and management., Ann Plast Surg, 5, 452, 10.1097/00000637-198012000-00007 · DOI
  35. Watson, 2009, Surgical management of the septal perforation., Otolaryngol Clin North Am, 42, 483, 10.1016/j.otc.2009.03.011 · DOI
  36. Romo, 1995, 3rd, Jablonski RD, Shapiro AL, McCormick SA. Long-term nasal mucosal tissue expansion use in repair of large nasoseptal perforations., Arch Otolaryngol Head Neck Surg, 121, 327, 10.1001/archotol.1995.01890030057009 · DOI
  37. Foda, 2006, Combining rhinoplasty with septal perforation repair., Facial Plast Surg, 22, 281, 10.1055/s-2006-954846 · DOI
  38. Heller, 2005, Repair of large nasal septal perforations using facial artery musculomucosal (FAMM) flap., Ann Plast Surg, 55, 456, 10.1097/01.sap.0000184012.63970.c3 · DOI
  39. Vuyk, 1988, The inferior turbinate flap for closure of septal perforations., Clin Otolaryngol Allied Sci, 13, 53, 10.1111/j.1365-2273.1988.tb00281.x · DOI
  40. Rokkjaer, 2010, Good results after endonasal cartilage closure of nasal septal perforations., Dan Med Bull, 57, A4196
  41. Schultz-Coulon, 1994, Experiences with the bridge-flap technique for the repair of large nasal septal perforations., Rhinology, 32, 25
  42. Ayshford, 2003, Endoscopic repair of nasal septal perforation with acellular human dermal allograft and an inferior turbinate flap., Clin Otolaryngol Allied Sci, 28, 29, 10.1046/j.1365-2273.2003.00654.x · DOI
  43. Kridel, 2004, Considerations in the etiology, treatment, and repair of septal perforations., Facial Plast Surg Clin North Am, 12, 435, 10.1016/j.fsc.2004.04.014 · DOI
  44. Kogan, 2007, Nasal septal perforation repair using oral mucosal flaps., Isr Med Assoc J, 9, 373
  45. Paloma, 2000, Surgical technique for reconstruction of the nasal septum: the pericranial flap., Head Neck, 22, 90, 10.1002/(SICI)1097-0347(200001)22:1<90::AID-HED14>3.0.CO;2-2 · DOI
  46. Tipton, 1970, Closure of large septal perforations with a labial-buccal flap., Plast Reconstr Surg, 46, 514, 10.1097/00006534-197011000-00023 · DOI
  47. Tardy, 1977, Practical suggestions on facial plastic surgery: how I do it. Sublabial mucosal flap: repair of septal perforations., Laryngoscope, 87, 275, 10.1288/00005537-197702000-00015 · DOI
  48. Pribaz, 1992, A new intraoral flap: facial artery musculomucosal (FAMM) flap., Plast Reconstr Surg, 90, 421, 10.1097/00006534-199209000-00009 · DOI
  49. Mobley, 2001, Repair of a large septal perforation with a radial forearm free flap: brief report of a case., Ear Nose Throat J, 80, 512, 10.1177/014556130108000810 · DOI
  50. Barry, 2008, Radial forearm free flap for repair of a large nasal septal perforation: a report of a case in a child., J Plast Reconstr Aesthet Surg, 61, 996, 10.1016/j.bjps.2007.10.059 · DOI
  51. Cogswell, 2000, The management of nasoseptal perforation., Br J Plast Surg, 53, 117, 10.1054/bjps.1999.3233 · DOI
  52. Coleman, 2000, Management of nasal septal perforation., Curr Opin Otolaryngol Head Neck Surg, 8, 58, 10.1097/00020840-200002000-00013 · DOI
  53. Seda, 1977, Closure of nasal septal perforation with composite flaps., Laryngoscope, 87, 1942, 10.1002/lary.1977.87.11.1942 · DOI
  54. Chua, 2006, Repair of nasal septal perforations using auricular conchal cartilage graft in children: report on three cases and literature review., Int J Pediatr Otorhinolaryngol, 70, 1219, 10.1016/j.ijporl.2005.12.021 · DOI
  55. Boccieri, 2007, The conchal cartilage graft in nasal reconstruction., J Plast Reconstr Aesthet Surg, 60, 188, 10.1016/j.bjps.2006.02.005 · DOI
  56. Livesey, 1995, Transplanted acellular allograft dermal matrix. Potential as a template for the reconstruction of viable dermis., Transplantation, 60, 1, 10.1097/00007890-199507150-00001 · DOI
  57. Mola, 2007, The comparison of acellular dermal matric (Alloderm), Dacron, Gore-Tex, and autologous cartilage graft materials in an experimental animal model for nasal septal repair surgery., Am J Rhinol, 21, 330, 10.2500/ajr.2007.21.2975 · DOI
  58. Daneshi, 2010, Repair of large nasal septal perforation with titanium membrane: report of 10 cases., Am J Otolaryngol, 31, 387, 10.1016/j.amjoto.2009.04.009 · DOI
  59. Jasso-Victoria, 2003, Usefulness of bovine pericardium as interpositional graft in the surgical repair of nasal septal perforations (experimental study)., J Invest Surg, 16, 209, 10.1080/08941930390214999 · DOI
  60. Teymoortash, 2009, Repair of nasal septal perforation using a simple unilateral inferior meatal mucosal flap., J Plast Reconstr Aesthet Surg, 62, 1261, 10.1016/j.bjps.2008.04.061 · DOI
  61. Mladina, 1995, Cross-stealing technique for septal perforation closure., Rhinology, 33, 174
  62. Tasca, 2006, Closure of nasal septal perforation via endonasal approach., Otolaryngol Head Neck Surg, 135, 922, 10.1016/j.otohns.2006.04.017 · DOI
  63. Hier, 2002, Endoscopic repair of a nasal septal perforation., J Otolaryngol, 31, 323, 10.2310/7070.2002.29958 · DOI
  64. Romo, 1988, 3rd, Foster CA, Korovin GW, Sachs ME. Repair of nasal septal perforation utilizing the midface degloving technique., Arch Otolaryngol Head Neck Surg, 114, 739, 10.1001/archotol.1988.01860190043019 · DOI
  65. Kuriloff, 1989, Nasal septal perforations and nasal obstruction., Otolaryngol Clin North Am, 22, 333, 10.1016/S0030-6665(20)31443-2 · DOI

Cited by

Sorted by citations

Metadata

Authors
Kim, S.-W., & Rhee, C.-S.
Affiliations
  • Gyeongsang National University (KR)
  • Seoul National University (KR)
Corresponding author
Rhee, Chae-Seo
ORCID
Venue
Current Opinion in Otolaryngology & Head & Neck Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012-02
Volume
20
Issue
1
Pages
58-65
ISSN
1068-9508 (ISSN-L)
DOI
10.1097/moo.0b013e32834dfb21
OpenAlex
W2139939018
Cited by
138
References
0
Citations by year
2026: 15 · 2025: 13 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 15 · 2020: 19 · 2019: 6 · 2018: 6 · 2017: 9 · 2016: 10 · 2015: 11 · 2014: 6 · 2013: 5
FWCI
0.63
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Otolaryngology & Head & Neck Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Surgery › Head and Neck Surgical Oncology
Keywords
nasal septal perforation, septal perforation repair, perforation size, surgical outcome prediction, interposition graft, surgical failure
MeSH terms
Humans, Nasal Mucosa, Otorhinolaryngologic Surgical Procedures, Surgical Flaps, Free Tissue Flaps, Nasal Septal Perforation

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review