title: Septal Perforation Repair Using Polydioxanone Plates: A 10-Year Comparative Study.
abstract: Medium to large septal perforations are a challenging problem to the rhinoplasty surgeon. In this study, records and outcomes are reviewed for 25 patients who underwent septal perforation repair over a 10-year period. All patients underwent an open septorhinoplasty approach with use of bilateral opposing mucoperichondrial flaps and a unique intervening graft that included acellular dermis, temporalis fascia alone, or a novel closure technique using temporalis fascia and a polydioxanone plate. The authors identify that for medium to large septal perforations, the use of the polydioxanone plate with temporalis fascia provided the highest rate of closure as a method of scaffolding a fascial graft, and also provided ease of placement between opposing mucoperichondrial flaps.
  
  
  METHODS
  Therapeutic, IV.
authors.affiliation: St. Louis, Mo. From the Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Washington University School of Medicine.
authors.forename: Jordan P
authors.initials: JP
authors.lastname: Sand
authors.forename: Shaun C
authors.initials: SC
authors.lastname: Desai
authors.forename: Gregory H
authors.initials: GH
authors.lastname: Branham
mesh_terms: D062088:Acellular Dermis; D000328:Adult; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery; D016687:Polydioxanone; D012225:Rhinoplasty / Q000295:instrumentation* / Q000379:methods; D013524:Surgical Flaps; D054457:Tissue Scaffolds; D016896:Treatment Outcome
chemical_list: D016687:Polydioxanone