Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2000; 11(1):175-178

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2000.11.1.175

How I Do It

이주연골편이식과 하비도 측벽 피판을 사용한 거대한 비중격 천공 재건술

장철호¹^,^*, 이진수¹, 김영훈¹

Repair of Large Nasal Septal Perforation Using Tragal Cartilage Graft and Posteriorly Based Mucoperiosteal Flap

Chul-Ho Jang¹^,^*, Jin-Su Lee¹, Young-Hun Kim¹

¹원광대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, Wonkwang Medical School, Iksan, Korea

^*교신저자: 장철호, 570-711 전북 익산시 신용동 원광대학교 의과대학 이비인후과학교실 전화: (063) 850-1311·전송: (063) 841-6556 E-mail: chul@wonnms.wonkwang.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

It is difficult to manage large nasal septal perforation and reperforation rate is high after repair it. The method for surgical closure has been introduced such as direct closure, cartilage autograft and temporalis fascia using intranasal or external approach. Recently, we experienced 2 cases of large septal perforations. We used tragal cartilage autograft and posteriorly based mucoperiosteal flap with unilateral direct suture under midfacial degloving approach. The healing time was faster. So we report our method with brief review of the literatures. (J Clinical Otolaryngol 2000;11:175-178)

Keywords: 비중격 천공; 연골자가이식; 점막성 골성 피판

Keywords: Nasal septal perforation; Cartilage autograft; Mucoperiosteal flap