Endoscopic repair of nasal septal perforation with anterior ethmoidal artery flap using tunnel technique.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2024-07-23 DOI:10.1007/s00405-024-08843-2

Aeshah J Almahbub, Muath I Alsabih, Mona N Solaim, Wafaa M Alwihaibi, Yazeed A Alsuliman, Fahad S Alfawwaz, Abdulaziz A AlQahtani

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引用次数: 0

Abstract

Purpose: Septal perforations (SPs) present a distinct challenge. There are many described surgical approaches with variable success rates. The goal of this study is to describe a new technique in repairing SP.

Methods: A case series of eighteen patients with anterior septal perforation who underwent endoscopic repair with the "tunnel technique" based on anterior ethmoid artery flap (AEA) were analyzed. Demographic data, etiology, size of perforation, and success rate were collected.

Results: Eighteen cases with male predominance (67%) were enrolled from 2019 to 2022. The average perforation size was 1.5 cm (0.5- 3.6 cm). The success rate of complete SP closure was 94% (n = 17/18) with no complications after surgery. The patients were followed up for 7 ± 5.2 months.

Conclusions: AEA flap reconstruction with the tunnel technique is associated with favorable outcomes in SP closure. The tunnel technique provides a useful flap bolster and minimizes the use of other supportive measures. This technique offers an addition to other techniques for septal perforation repair.

Level of evidence: Level 4.

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利用隧道技术在内窥镜下用乙状前动脉皮瓣修复鼻中隔穿孔。

目的：室间隔穿孔（SP）是一项独特的挑战。目前有许多成功率不一的手术方法。本研究旨在介绍一种修复鼻中隔穿孔的新技术：方法：本研究分析了 18 例前鼻中隔穿孔患者的系列病例，这些患者接受了基于前乙状动脉皮瓣（AEA）的 "隧道技术 "内窥镜修复术。收集了人口统计学数据、病因、穿孔大小和成功率：从2019年到2022年，共纳入18例患者，男性占多数（67%）。穿孔平均大小为 1.5 厘米（0.5- 3.6 厘米）。SP完全闭合的成功率为94%（n = 17/18），术后无并发症。对患者的随访时间为 7 ± 5.2 个月：结论：采用隧道技术进行AEA皮瓣重建可获得良好的SP闭合效果。隧道技术提供了有效的皮瓣支撑，并最大限度地减少了其他支持措施的使用。该技术是对其他房间隔穿孔修复技术的补充：证据等级：4级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.