[Repairing large perforation of nasal septum with titanium membrane and local pedicled mucoperiosteum flap].
OBJECTIVE
To study a new treatment to repair large perforation of nasal septum with medical titanium membrane and local padicled mucoperiosteum flap.


METHODS
The bottom mucoperiosteum of nasal cavity around the perforation of nasal septum were separated from the bone surface except with the margin part of perforation. Then the distal part of mucoperiosteum flap was incised and turn over to cover the perforation, free edge of the flap was sutured to secure immobilization. Finally, the Titanium membrane was cut to the right size to tuck into subperiosteal pocket around the perforation, and was sutured to the mucoperiosteal for added immobilization.


RESULTS
The perforations of nasal septum in 11 patients were closed satisfactorily. Perforation of nasal septum did not recur and the follow-up time ranged from half a year to 1 year.


CONCLUSIONS
Titanium membrane is easy of application, and has good tissue tolerance. In our study, it is a good material to repair large perforation of nasal septum.
Deng
Chanjuan
C
Department of Otorhinolaryngology, Chongqing Corps Hospital, Chinese People's Armed Police Forces, Chongqing, 400061, China. dcj418@sina.com
Li
Ruifeng
R
Yang
Jian
J
Huang
Qiming
Q
Xu
Lusheng
L
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D009668:Nose Diseases / Q000601:surgery*; D010521:Periosteum / Q000637:transplantation*; D019919:Prosthesis Implantation; D015607:Stents; D013524:Surgical Flaps; D014025:Titanium; D016896:Treatment Outcome
D014025:Titanium