title: [The surgical strategy for the treatment of intraoperative ruptures of nasal septal mucosa (part 1)].
abstract: The objective of the present study was to develop the surgical strategy for the management of intraoperative ruptures of nasal septal mucosa. The paper highlights etiology and pathogenesis of postoperative perforations of the nasal septum. The intraoperative ruptures of nasal septal mucosa were shown to be the major factors responsible for the enhanced risk of nasal septum perforation. A total of 188 patients presenting with unilateral linear intraoperative ruptures of nasal septal mucosa that occurred in the course of the septoplastic intervention were available for the observation during a period from 2009 to 2011. The study has demonstrated that the defects in intranasal mucosa developing in the late postoperative period cause a sustained collapse of the mucociliary activity. The up-to-date techniques were used to develop the surgical strategy for the treatment of intraoperative ruptures of nasal septal mucosa depending on their length and character. An original method is proposed for fixing mucoperichondrial flaps for the plastic closure of the intraoperative defects of nasal septal mucosa. The results of the study provided a basis for the development of practical recommendations to be used by otorhinolaryngologists for the purposes of both septoplasty and plastic closure of perforations in the nasal septum.
authors.forename: A I
authors.initials: AI
authors.lastname: Kriukov
authors.forename: G Iu
authors.initials: GIu
authors.lastname: Tsarapkin
authors.forename: Kh Sh
authors.initials: KhSh
authors.lastname: Arzhiev
authors.forename: M Iu
authors.initials: MIu
authors.lastname: Poliaeva
mesh_terms: D000328:Adult; D001704:Biopolymers / Q000627:therapeutic use; D057186:Comparative Effectiveness Research; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D007431:Intraoperative Complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000209:etiology / Q000601:surgery; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery; D059747:Nasal Surgical Procedures / Q000009:adverse effects / Q000379:methods; D009668:Nose Diseases / Q000601:surgery*; D018570:Risk Assessment; D012421:Rupture / Q000145:classification / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome; D058106:Wound Closure Techniques; D014945:Wound Healing
chemical_list: D001704:Biopolymers