AAFPRS085 - Nasal Septal Perforation Repair with Temporal Fascia and Polydioxanone Plate
Thursday, April 28, 2022
11:15 AM – 11:20 AM CT
Location: Landmark D
Megan Falls MD; Joseph B Meleca MD; Oluwaseyi Awonusi BA; Dominic Vernon MD; Jeffrey Johnson II MD; Cole Rodman MD; Taha Shipchandler MD
Indiana University Department of Otolaryngology-Head and Neck Surgery (Falls, Meleca, Vernon, Rodman, Shipchandler); Indiana University School of Medicine (Awonusi); University of Florida Department of Otolaryngology (Johnson)
Resident Physician Indiana University Indianapolis, Indiana
Background: Nasal septal perforations (NSP) represent a surgical challenge with diverse etiologies and surgical repair options, particularly large perforations over 1.5 cm.
Learning Objectives: The educational goals of this presentation are to discuss the technical steps of this repair method, the findings of this comparison study, and situations in which this repair method may be particularly useful, such as large perforations.
Study Objective: This study examines the efficacy of a NSP repair method utilizing temporal fascia and a polydioxanone plate scaffold with a comparison to prior repair methods with local flaps, focusing on patients with large perforations.
Design Type: Retrospective chart review
Methods: A retrospective review of patients who underwent NSP repair at a tertiary academic medical center from 2016-2021.
Results: 45 patients (55.6% female) who underwent a total of 54 NSP repair surgeries were identified. The most common etiologies for NSP were prior nasal surgery (51.1%), digital trauma (8.9%), and chronic epistaxis (8.9%). Compared to the previous repair group with local flaps, the temporal fascia and polydioxanone plate group had significantly higher rates of complete closure for perforations of all sizes (62.5% vs. 17.6%, p=0.01) and a lower incidence of revision surgery (9.1% vs. 35.7%, p=0.04).
Conclusions: The use of temporal fascia with a polydioxanone plate is a promising surgical method for repair of NSP, regardless of size or etiology.