caa a22 4500 463210107 CHVBK 20180405153138.0 cr unu---uuuuu 170326e20070201xx s 000 0 eng 10.1007/s00238-006-0103-9 doi (NATIONALLICENCE)springer-10.1007/s00238-006-0103-9 Emsen Ilteris Murat Department of Plastic, Reconstructive and Aesthetic Surgery, Numune State Hospital, Erzurum, Turkey aut Management of the large septal perforations with the support of porous high-density polyethylene (MEDPOR) [Elektronische Daten] [Ilteris Murat Emsen] Septal perforation is an avoidable complication of septal surgery, but it can also occur because of a variety of traumatic, iatrogenic, caustic, or inflammatory reasons. Symptoms usually are related to the disruption of the normally laminar flow of air through the nasal passages. Crusting, bleeding, parosmia, and neuralgia can develop, leading the patient to seek medical care. When local hygiene and conservative care are unsuccessful in relieving symptoms, closure of the perforation is considered. Repair is often difficult because of the limited exposure and limited amounts of friable mucosa with impaired vascular supply. The failure of attempted closure of septal perforations can be as high as 80%. The authors have developed a graduated approach to the closure of septal perforations with porous high-density polyethylene (Medpor, Porex Surgical, Newnan, GA, USA) that tailors the surgical approach to the size and location of the defect. Perforations 0.5 to 2.0cm in size were closed in 92.9% (13 of 14) of the patients using an extended external rhinoplasty approach and bilateral posteriorly based mucosal flaps. Larger perforations (2.0 to 4.5cm) were closed in 81.8% (18 of 22) of the patients by a two-staged technique with porous high-density polyethylene (Medpor, Porex Surgical) again, using a mid-facial degloving approach to medially advance posteriorly based, expanded mucosal flaps. With careful preoperative management and selection of the appropriate surgical technique, even moderate-to-large perforations can be repaired reliably with limited operative morbidity. Springer-Verlag, 2007 Septal perforation nationallicence Laminar flow nationallicence Mucosal flap nationallicence Rhinoplasty nationallicence Porous high-density polyethylene nationallicence Medpor nationallicence European Journal of Plastic Surgery Springer-Verlag 29/6(2007-02-01), 277-283 0930-343X 29:6<277 2007 29 238 https://doi.org/10.1007/s00238-006-0103-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-006-0103-9 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Emsen Ilteris Murat Department of Plastic, Reconstructive and Aesthetic Surgery, Numune State Hospital, Erzurum, Turkey aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 29/6(2007-02-01), 277-283 0930-343X 29:6<277 2007 29 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer