Endoscopic Endonasal Repair of Septal Perforation with Interpositional Auricular Cartilage Grafting via a Mucosal Regeneration Technique

2016 ◽  
Vol 155 (4) ◽  
pp. 714-717 ◽  
Author(s):  
Orhan Ozturan ◽  
Alper Yenigun ◽  
Erol Senturk ◽  
Sabri Baki Eren ◽  
Fadlullah Aksoy
Keyword(s):  
Septal Perforation ◽  
Auricular Cartilage ◽  
Endoscopic Endonasal ◽  
Mucosal Regeneration ◽  
Cartilage Grafting

Auricular Cartilage

2019 ◽  
pp. 91-94
Author(s):  
Ali Sajjadian
Keyword(s):  
Postoperative Pain ◽  
Donor Site ◽  
Graft Material ◽  
Cartilage Graft ◽  
Septal Perforation ◽  
Auricular Cartilage ◽  
Structural Support ◽  
First Choice ◽  
Graft Donor ◽  
Ear Cartilage

The ear is generally not a first choice as a cartilage graft donor site for several reasons, none of which is valid. When the graft is harvested anteriorly, the scar is well-concealed as long as the incision is placed within the rim of the conchal bowl. And, although no site can provide as much cartilage as the rib, the auricle can provide a surprisingly large amount of graft material. There is also characteristically minimal morbidity with the harvest of auricular cartilage. This distinguishes it from rib cartilage harvest, which may be accompanied by significant postoperative pain and occasionally pneumothorax. In addition, septal harvest may cause bleeding, saddling of the nose symptomatic of septal perforation, and other airflow disturbances. The most important and major problem with ear cartilage is the flaccidity inherent in its structure. This makes it a poor choice when significant structural support is mandatory.

Autogenous Auricular Cartilage Grafting for Lower Eyelid Retraction

1985 ◽  
Vol 1 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Henry I. Baylis ◽  
Kevin I. Perman ◽  
David R. Fett ◽  
R. Toby Sutcliffe
Keyword(s):  
Lower Eyelid ◽  
Eyelid Retraction ◽  
Auricular Cartilage ◽  
Cartilage Grafting

scholarly journals Conjunctival flap with auricular cartilage grafting: a modified Hughes procedure for large full thickness upper and lower eyelid defect reconstruction

2021 ◽  
Vol 14 (8) ◽  
pp. 1168-1173
Author(s):  
Ben Chen ◽  
◽  
Jia Liu ◽  
Xiu-Ying Zhu ◽  
Yan-Yan Lin ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Myocutaneous Flap ◽  
Lower Eyelid ◽  
Effective Procedure ◽  
Full Thickness ◽  
Auricular Cartilage ◽  
Tarsal Plate ◽  
Conjunctival Flap ◽  
The Mean ◽  
Cartilage Grafting

AIM: To investigate the suitability of a modified Hughes procedure, which consists of conjunctival flap with auricular cartilage grafting in reconstructing large full thickness upper and lower eyelid defect. METHODS: Patients with full thickness eyelid carcinoma involving more than 50% margin length who underwent surgical resection were retrospectively reviewed in the study. The defects were reconstructed using conjunctival flap with auricular cartilage grafting, covered with myocutaneous flap above. Followed-up time ranged from 12 to 24mo. Outcomes were classified as “good”, “fair”, and “poor” by evaluating the margin appearance, eyelid appearance, and complications. RESULTS: A total of 42 patients were enrolled in the study (26 males, 16 females, mean age, 68.6±7.7y, range: 53 to 82y). The mean defect widths measured 23.2±2.9 mm (range, 17 to 28 mm). The mean posterior lamellar defect height was 5.5±1.3 mm (4 to 8 mm). Thirty-seven patients had a “good” outcome (88.1%), 5 patients had a “fair” outcome (11.9%), and no one had a “poor” outcome. CONCLUSION: Conjunctival flap with auricular cartilage grafting and myocutaneous flap grafting is an effective procedure in reconstructing large full thickness upper and lower eyelid defect. It can not only achieve satisfied reconstruction, but also preserve intact tarsal plate of the opposite eyelid, avoiding retraction or entropion.

Porcine Tracheal Mucosa-Derived Decellularized Patch to Prevent Septal Perforation in a Rabbit Model

2020 ◽  
pp. 194589242096197
Author(s):  
So Jeong Kim ◽  
Soo Yeon Jung ◽  
Min Ji Lee ◽  
Jung Ho Bae ◽  
Han Su Kim
Keyword(s):  
Rabbit Model ◽  
Cartilage Regeneration ◽  
Control Group ◽  
Septal Perforation ◽  
Tracheal Mucosa ◽  
Mucosal Regeneration ◽  
Nasal Cartilage ◽  
Bilateral Group ◽  
Nasal Septal Perforation ◽  
Septal Perforations

Background Nasal septal perforation is caused by bilateral septal mucosal injuries resulting from nasal trauma and septal surgeries. Previous studies have reported that biocompatible materials may be effective for repairing nasal septal perforations. However, they were primarily used for treatment; no study has investigated their use for prevention of nasal septal perforation. Objective To determine whether porcine tracheal mucosa-derived decellularized patch can prevent the progression of nasal mucosa injuries to septal perforations. Methods Bilateral nasal septal mucosal defects were surgically induced in 36 rabbits. Silastic sheets were applied bilaterally in all rabbits, and decellularized mucosal patch was applied unilaterally (n = 12) or bilaterally (n = 12) at the defect site in the respective experimental groups. Between 1 and 8 weeks postoperatively, the animals were sacrificed, and their nasal septa were completely removed. The excised septa were examined macroscopically and microscopically (histopathological examinations). Moreover, glycosaminoglycan (GAG) estimations of the septa were performed to evaluate mucosal regeneration and mechanical properties. Results Septal perforations occurred in 5 animals in the control group (5/12; 42%), 1 in the unilateral group (1/12; 9%), and in none in the bilateral group. Compared with the control group, the experimental groups showed significantly different mucosal and cartilage regeneration. Conclusion Decellularized porcine tracheal mucosa can prevent mucosal defects from progressing to septal perforation, promote the repair of mucosal defects, and protect the nasal cartilage.

Auricular Perichondrium Graft for Septal Perforation Repair

2021 ◽  
pp. 000348942110157
Author(s):  
Stephen F. Bansberg ◽  
Cullen M. Taylor ◽  
Gregory S. Neel
Keyword(s):  
Nasal Obstruction ◽  
Graft Material ◽  
Septal Perforation ◽  
Nasal Valve ◽  
Auricular Cartilage ◽  
Interposition Graft ◽  
Presenting Symptoms ◽  
Septal Surgery ◽  
Record Review

Objectives: Procedures which utilize bilateral mucosal flaps with an interposition graft are frequently used when attempting closure of a septal perforation. Concurrent surgical management of the nasal valve or an aesthetic deformity may be indicated. The objective of this study is to report our experience using auricular perichondrium for the interposition graft when auricular cartilage is harvested for structural or aesthetic graft material. Methods: A retrospective medical record review was performed for septal perforation repairs performed at Mayo Clinic in Arizona from January 2010 through January 2020. Patients identified for this study underwent a procedure utilizing bilateral nasal mucosal flaps with an auricular perichondrium interposition graft. Results: Forty-four patients (31 females) with a mean age of 53.3 years met study criteria. The most common presenting symptoms were nasal obstruction, crusting, and epistaxis. Prior septal surgery was the most common perforation etiology (45.5%). Mean perforation length was 11.8 (range, 3-26) mm and height, 9.1 (range, 2-16) mm. Auricular cartilage was harvested for nasal valve surgery in 43 patients. Complete perforation closure was noted in 95.3% (41/43) of patients with a minimum post-operative follow-up of 3 (mean, 20.4) months. Four patients underwent revision surgery for persistent postoperative nasal obstruction. Conclusion: The ear can provide both cartilage and perichondrium for use in septal perforation surgery. Our study demonstrates the successful use of auricular perichondrium as the interposition graft for a perforation closure procedure utilizing bilateral nasal mucosal flaps.

scholarly journals Comparison between Rescue Flap and Double Flap Technique

2018 ◽  
Vol 80 (04) ◽  
pp. 431-436
Author(s):  
Murat Benzer ◽  
Huseyin Biceroglu ◽  
Murat Samet Ates ◽  
Isa Kaya ◽  
Erkin Ozgiray ◽  
...  
Keyword(s):  
Randomized Study ◽  
Pituitary Surgery ◽  
Septal Perforation ◽  
Postoperative Patient ◽  
Endoscopic Endonasal ◽  
Endoscopic Techniques ◽  
Patient Morbidity ◽  
Significant Difference ◽  
Perforation Group ◽  
Posterior Septum

Objectives Endoscopic techniques in pituitary surgery lead to inevitable mucosal loss of the sphenoethmoidal recess and posterior nasal septum in the nasal cavity. There is no other comparative study between primary reconstruction of septal perforation and secondary healing in the literature. The aim of this study is to evaluate postoperative patient morbidity with or without posterior septal perforation in endonasal pituitary surgery by comparing two commonly used techniques: rescue and double nasoseptal flaps. Design Prospectively randomized study. Setting Tertiary academic center. Participants Sixty patients underwent endoscopic endonasal pituitary surgery. Main Outcomes and Measures Functional results (breathing) using visual analog scale (VAS), sphenoid sinusitis, presence of synechia, perforation in the posterior septum, and crusting in the sphenoethmoidal recess were assessed. Results Pre- and postoperative mean VAS scores were 71.67 ± 11.47 and 67.67 ± 9.71 mm in the intact septum group and 77.67 ± 14.06 and 62.67 ± 10.48 mm in the posterior septal perforation group. There was a significant difference between pre- and postoperative VAS values in all groups. There was significant worsening in both groups; worsening in VAS values was much higher in the posterior septal perforation group. In the posterior septal perforation group, much more crusting was seen. Conclusions This is the first study to compare the postoperative patient morbidity in endoscopic endonasal pituitary surgery with and without a posterior septal perforation. Reconstruction of the posterior septum along with less mucosal loss yields better postoperative nasal symptom score.

Septal perforation repair: mucosal regeneration technique

2012 ◽  
Vol 269 (12) ◽  
pp. 2505-2510 ◽  
Author(s):  
Alper Yenigun ◽  
Aysenur Meric ◽  
Aysegul Verim ◽  
Berke Ozucer ◽  
Husamettin Yasar ◽  
...  
Keyword(s):  
Septal Perforation ◽  
Mucosal Regeneration
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