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Cited by 35Nasal Surgery and Airway StudiesReconstructive Facial Surgery TechniquesHead and Neck Surgical Oncology

The DOI matches its Crossref record; 11 of the 12 references it cites were found in a registry or an index.

Surgical closure of nasal septal perforation. Early and long term observations

Open access
Dosen, L.K., Haye, R.·2011·Rhinology journal
DOI 10.4193/rhino10.081
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Abstract

Background: Results of surgical treatment of nasal septal perforation are usually evaluated using closure of the perforation as criterion of success. Patients, however, may still have symptoms. Aim: To assess the long-term results of surgical treatment of nasal septal perforation with bilateral, posterior based mucoperichondrial septal flaps using a four-point symptom score to ultimately improve treatment and selection criteria. Methodology: Patients were seen 6 months postoperatively. Questionnaires were sent to 116 surviving patients in 2008-2009. The response was 104. Patients reporting moderate or severe symptoms were seen as outpatients. Results: Between 1987 and 2004, 126 patients were surgically treated using posterior based bilateral mucoperichondrial septal flaps. Sixteen patients had a reperforation during the first 3 months, and another 3 several years later. There was no correlation between early outcome and diagnosis, preoperative size of the perforation, gender or severity of preoperative crusting. There was an increased rate of reperforation with increasing age. Complications seen at the 6 months` follow-up of patients with closed perforations were lachrymal duct stenosis, partial vestibular stenosis, hypoesthesia, crusting and septal deviation, most of which were treatable. Long-term observation mean 10 years) of the same patients showed the following moderate or severe symptoms: crusting, obstruction and bleeding, mainly in men. Obstruction was often due to various forms of perennial rhinitis, sometimes to crusting and more rarely to septal deviation. Crusting was the only independent symptom. There was no correlation between crusting and diagnosis, preoperative size of the perforation, age or severity of preoperative crusting. Conclusions: Results of the surgical technique using posterior based bilateral mucoperichondrial septal flaps for treatment of nasal septal perforations were good, but depend on surgical expertise and age of the patient. Long-term results from other studies will be a guide to choose the proper surgical procedure to minimize the number of late symptoms. Prosthetic treatment cans be an alternative. Patients with return of symptoms should seek further advice.

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Research works printed but not linked: 8

  1. Oberg D, Akerlund A, Johanson L, Bende M. Prevalence of nasal 1. septal perforation: the Skövde population-based study. Rhinology. 2003; 41: 72-75.
  2. Watson D, Barkdull G. Surgical Management of the Septal 2. Perforation. Otolaryngol Clin N Am. 2009; 42: 483-493.
  3. Goh AY, Hussain SS. Different surgical treatments for nasal 3. septal perforation and their outcome. J Laryngol Otol. 2007; 121: 419-426.
  4. Schultz-Coulon HJ. Three-layered repair of nasoseptal defects. 5. Arch Otolaryngol Head Neck Surg. 2005; 132: 213-217.
  5. Fairbanks DNF. Closure of Nasal Septal Perforations. Arch 6. Otolaryngol. 1980; 106: 509-513.
  6. André RF, Lohuis PJFM, Vuyk HD. Nasal septal perforation 11. repair using differently designed, bilateral intranasal flaps, with nonopposing suture lines. J Plast Reconstr Aesteth Surg. 2006; 59: 829-834.
  7. Scadding GK, Lund VJ, Jacques LA, Richards DH. A placebo- 15. controlled study of fluticasone proprionate aqueous nasal spray and beclometasone diproprionate in perennial rhinitis: efficacy in allergic and non-allergic perennial rhinitis. Clin Exp Allergy 1995; 25: 737-743.
  8. Luff DA, Kam IA, Williat DJ. Nasal septal buttons: Symptom 16. scores and satisfaction. J Laryngol Otol. 2002; 116: 1001-1004.

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Metadata

Authors
Dosen, L. K., & Haye, R.
Affiliations
Oslo University Hospital (NO)
ORCID
Haye, R.
Venue
Rhinology journal
Publisher
Stichting Nase
Published
2011-10-01
Volume
49
Issue
4
Pages
486-491
ISSN
0300-0729 (ISSN-L)
DOI
10.4193/rhino10.081
OpenAlex
W4240554045
Cited by
35
References
12
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
1.31
Type
journal article
Language
en
Open access
Locations
  • Rhinology Journal (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, reperforation, nasal crusting, nasal obstruction, epistaxis, septal deviation, long-term outcomes, age as risk factor
MeSH terms
Adolescent, Adult, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Surgical Flaps, Logistic Models, Treatment Outcome, Young Adult, Nasal Septal Perforation

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CoChat. (2026). Citation check: Surgical closure of nasal septal perforation. Early and long term observations. https://app.cochat.ai/papers/10.4193/rhino10.081
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Dosen, L. K., & Haye, R. (2011). Surgical closure of nasal septal perforation. Early and long term observations. Rhinology journal. https://doi.org/10.4193/rhino10.081

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.