[Prospective investigations on the spontaneous healing of intraoperative lesions of the mucosa of the nasal septum].
Mucosal lesions of the nasal septum during septal surgery are frequent, but there is scarce information in the literature about their outcome. In 283 operations of the nasal septum, 92 (32.5%) mucosal lesions occurred, 67 of these could be documented and classified 1, 3 and 6 months postoperatively. Although there was no therapy in 93% (74 cases) of the one-sided lesions, no permanent septal perforation was seen. A total of 7% (six cases) were treated by suture or lyophilised dura combined with tissue adhesive. On the other hand, double-sided and correspondent lesions (12 cases: six without therapy, four sutures, one lyophilised fascia, one tissue adhesive) showed a perforation in five cases without any symptoms. This represents 1.7% of all operations of the nasal septum and 7.4% of all recorded mucosal lesions of the nasal septum. Although the number of examinations are still few, it might be justifiable to conclude that one-sided lesions of the nasal septum need no specific therapy. All bilateral corresponding lesions, even those smaller than 5 mm, should be treated by one-sided suture in the anterior septum and with tissue adhesive in the posterior septum. The use of cartilage, bone or fascia alone is insufficient. Large defects of the mucosa should be treated by maximal therapy, i.e. covering with lyophilised fascia or dura, underlaying of cartilage or bone and using tissue adhesive.
Winter
M
M
Universitäts-HNO-Klinik Erlangen.
Weissenrieder
B
B
Göde
U
U
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D009300:Nasal Septum / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology; D011446:Prospective Studies; D012086:Reoperation; D012225:Rhinoplasty; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology*
Prospektive Untersuchungen zur Spontanheilung von Septumschleimhauteinrissen bei rhinochirurgischen Eingriffen. Vorläufige Mitteilung.