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 accessAbstract
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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“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 [262]
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Cites
Considerations in the etiology, treatment, and repair of septal perforations
Kridel, R. (2004) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2004.04.014 · Cited by 159
A Review of 25-Year Experience of Nasal Septal Perforation Repair
Pedroza, F., Patrocínio, L. G., & Arevalo, O. (2007) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.9.1.12 · Cited by 96
Surgical Management of the Septal Perforation
Watson, D. J., & Barkdull, G. C. (2009) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2009.03.011 · Cited by 89
The Surgical Closure of Nasoseptal Perforations
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Døsen, L. K., & Haye, R. (2007) · BMC Ear Nose and Throat Disorders · doi:10.1186/1472-6815-7-1 · Cited by 68
Self-citationTechnical Advances in the Correction of Septal Perforation Associated With Closed Rhinoplasty
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The relationship between subjective assessment instruments in chronic rhinosinusitis.
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Nasal septal perforations: Our surgical technique
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Surgical management of septal perforation: an alternative to closure of perforation
Eng, S. P., Nilssen, E. L. K., Ranta, M., & White, P. S. (2001) · The Journal of Laryngology & Otology · doi:10.1258/0022215011907172 · Cited by 30
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Cited by
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Endoscopic repair of nasal septal perforation
Cassano, M. (2017) · Acta Otorhinolaryngologica Italica · doi:10.14639/0392-100x-1313 · Cited by 49
Three-dimensional Printing of Large Nasal Septal Perforations for Optimal Prosthetic Closure
Altunay, Z. Ö., Bly, J. A., Edwards, P. K., Holmes, D. R., Hamilton, G. S., O’Brien, E. K., Carr, A. B., Camp, J. J., Stokken, J. K., & Pallanch, J. F. (2016) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2016.30.4324 · Cited by 49
Morse, J. C., Harris, J. E., Owen, S. R., Sowder, J. C., & Stephan, S. J. (2019) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2019.0020 · Cited by 45
Surgical repair of nasal septal perforations: A systematic review and meta‐analysis
Fermin, J. M., Bui, R., McCoul, E. D., Alt, J. A., Avila-Quintero, V. J., Chang, B. A., & Yim, M. T. (2022) · International Forum of Allergy & Rhinology · doi:10.1002/alr.22965 · Cited by 42
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)
- 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
- bronze
- doi.org
- 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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