실라스틱 시트를 이용한 비중격 천공 재건술 = Repair of Nasal Septal Perforation Using Silastic Sheet

다국어 초록 (Multilingual Abstract)

Background and Objectives：In general, for surgical treatment of septal perforation, a suture repair method is necessary for atleast unilateral intranasal mucosal flap with the interposition of a connective tissue graft. However, autologous graft material issometimes insufficient when septal perforation repair is combined with other surgery such as rhinoplasty. The aims of this studywere to introduce a new repair technique of septal perforation using silastic sheet and to assess the usefulness of the new method.Subjects and Method：Between March 2003 and September 2004, 5 patients underwent septal perforation repair using silasticsheet with open rhinoplasty at the same time. Size and causes of septal perforation, symptoms, and complication were evaluatedby endoscopic examination and questionnaires pre- and postoperatively. Results：The causes of septal perforation were previousseptoplasty (3 cases), syphilis (1 case) and unknown (1 case). Preoperative symptoms including nasal obstruction, rhinorrhea,epistaxis and dryness were all improved postoperatively. The perforations of all patients were 1.0 cm sized or more indiameter. Four of five patients (80%) achieved complete closure and one patient had an incomplete closure after a mean followup of 16 months. Conclusion：The repair of septal perforation using silastic sheets is a very useful technique when the size ofseptal perforation is more than 1 cm large in diameter or when the autograft material is insufficient. (Korean J Otolaryngol2006;49:522-6)

참고문헌 (Reference)

1 "The inferior turbinate flap repair for closureof nasal septal perforations" 13 : 53-7, 1988

2 "Surgical technique for reconstructionof the nasal septum:the pericranial flap" 22 : 90-94, 2000

3 "Septal perforations closureutilizing the backwards extraction-reposition technique of thequadrangular cartilage" 113 : 721-724, 1999

4 "Septal perforation repair with acellularhuman dermal allograft" 124 : 73-78, 1998

5 "Repair of the septal perforation by auricular cartilageautografting" 30 : 887-91, 1987

6 "Perforation of the nasal septum" IlchokakPublishing CO 271-275, 1997

7 "Nonsurgical closure of nasal septal perforations" 105 : 6-8, 1979

8 "Nasal septal perforations and nasal obstruction" 22 : 333-50, 1989

9 "Nasal septal perforation:Preventionand management" 5 : 452-9, 1980

10 "Nasal septal perforation" 14 : 125-31, 1985

11 "Intraorbital squamousepithelial cyst: An unusual complication of Silastic implantation" 9 : 452-458, 1998

12 "Factors affecting recoveryof mastoid aeration after ear surgery" 256 : 220-223, 1999

13 "Considerations in the etiology and repair of septal perforation" 12 : 435-450, 2004

14 "Closure of nasal septal perforations" 106 : 509-13, 1980

15 "Bone and temporal fasciagraft for the closure of septal perforation" 112 : 1167-1171, 1998

16 "Alloplastic template fixation of blow-out fracture" 13 : 510-512, 2002