Nasal septal perforation refers to a hole in the thin wall (septum) dividing the nasal passages. When left untreated, it can cause bothersome symptoms such as whistling sounds during breathing, nasal obstruction, frequent bleeding, and crusting. Surgical repair can be challenging, but recent advancements, including endoscopic techniques, offer promising results.
In this article, we explore an effective surgical method using a unilateral nasal mucosal flap with a temporalis fascia graft. This innovative procedure has proven successful for many patients, ensuring high closure rates with minimal complications.
The Challenge of Septal Perforations
Septal perforations typically result from nasal surgery complications, trauma, cauterisation, or infections. For some individuals, small perforations remain asymptomatic, but larger ones can severely impact quality of life.
Non-surgical options such as nasal irrigation, ointments, and septal buttons may alleviate symptoms but do not resolve the underlying defect. For persistent cases, surgical intervention is essential.
Endoscopic Repair Using a Unilateral Mucosal Flap
This procedure combines precision and minimally invasive techniques to repair nasal perforations. Here’s a closer look at the innovative approach:
Surgical Approach
- Endonasal Technique: Unlike external procedures that leave visible scars, this approach is entirely performed inside the nose using endoscopy for clear visualisation.
- Hemitranfixion Incision: The incision is extended laterally under the inferior turbinate, allowing the mucosal flap to advance without tension.
- Unilateral Mucosal Flap: A single mucosal flap is carefully elevated and repositioned to close the perforation, avoiding trauma to the opposite nasal cavity.
- Temporalis Fascia Graft: A thin tissue graft is harvested from the patient’s temple and positioned over the perforation for added reinforcement.
- Postoperative Support: Silastic sheets are applied to protect the repair and promote healing while nasal packing prevents bleeding.
Results and Recovery
Post-surgery, patients experience significant improvements:
Patient Satisfaction: Even in cases with minor residual perforations, patients report substantial symptom relief.
Healing: Full recovery of nasal tissues occurs within 4–8 weeks.
Symptom Relief: Issues like nasal whistling, dryness, and bleeding are dramatically reduced or eliminated.
Why Experience Matters
While this procedure is effective, it requires extensive experience in endoscopic nasal surgery. Mr Hassan Elhassan, a leading ENT consultant, specialises in advanced septal perforation repair techniques, offering patients innovative and successful treatment options.
If you are experiencing symptoms of a septal perforation, consulting an expert is essential for determining the best treatment approach.
Interested in learning more about surgical techniques for septal perforation repair?
Contact us today to schedule a consultation and take the first step toward improved nasal health.
Mr Hassan Elhassan
Published by septalperforation.co.uk on November 16, 2024
Mr Hassan Elhassan is an experienced ENT consultant specialising in treating septal perforations. With expertise in non-surgical and surgical options, he provides tailored patient care, ensuring effective and long-term relief from septal perforation symptoms. His approach is focused on restoring normal nasal function and improving overall quality of life.
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