AAFPRS083 - Nasal Septal Perforation Reconstruction with Polydioxanone Plate: A Systematic Review
Thursday, April 28, 2022
11:05 AM – 11:10 AM CT
Location: Landmark D
Marc Levin, MD; Hedyeh Ziai, MD; Justin Shapiro; Michael Roskies, MD, MSc, FRCSC
1 Department of Otolaryngology Head & Neck Surgery, University of Toronto, Toronto, ON
2 Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
3 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
4 Division of Facial Plastic and Reconstructive Surgery, Sinai Health System, Toronto, Ontario, Canada.
Background: Nasal septal perforations are an uncommon pathology difficult to surgically repair and may significantly impact patients’ quality of life. Existing treatments have high complication and failure rates. The use of polydioxanone (PDS) plates to repair septal perforations is an innovative approach that has demonstrated superior outcomes to the conventional techniques.
Learning Objectives: (1) To identify an increasingly popular and efficacious method to reconstruct nasal septal perforations; (2) To compare the safety and outcomes of using PDS plates with other materials used in nasal septal perforation reconstruction.
Study Objective: This study aimed to review the literature on the use of PDS plates for nasal septum perforation reconstruction.
Design Type: This study is a systematic review.
Methods: Pubmed, OVID Medline and OVID Embase databases were searched for relevant articles in June 2021. Search terms included: Nasal septal perforation; polydioxanone; septal perforation; septal repair; nasal septum and PDS plate.
Results: Database searches yielded 80 articles. Seven articles were included representing 92 patients. All studies reported the use of PDS plates in addition to other materials. They all reported closure rates of at least 80%. The majority of studies reported no postoperative complications.
Conclusion: Nasal septal perforation reconstruction with PDS plates is a promising approach that has demonstrated positive outcomes. Further larger studies are required to evaluate the long-term efficacy of using PDS plates on patients with septal perforations.