Mr. Hassan's Surgical Expertise for Perforated Septum Repair
Precision and Innovation in Nasal Health Restoration
Nasal septal perforation repair. A, The presence of a septal perforation is confirmed and measured on the morning of the operation with an endoscope. B, Intraoperatively, the flap is limited posteriorly by the junction of the hard and soft palate. C, Then, the incision of the floor is extended laterally to under the inferior turbinate. D, The second vertical incision is made 0.5 to1 cm posteriorly to the septal projection of the axilla of the middle turbinate.
Nasal septal perforation repair. A, The presence of a septal perforation is confirmed and measured on the morning of the operation with an endoscope. B, Intraoperatively, the flap is limited posteriorly by the junction of the hard and soft palate. C, Then, the incision of the floor is extended laterally to under the inferior turbinate. D, The second vertical incision is made 0.5 to1 cm posteriorly to the septal projection of the axilla of the middle turbinate.
Nasal septal perforation repair. A, The nasal floor is left uncovered. B, The large pedicled flap in relation with the edges of the perforation. C, The mucosal flap is rotated to cover the perforation. D, The flap is seen closing the perforation without the need for a cartilage graft.
Nasendoscopic findings after nasal septal perforation repair. The 3-week (A) and 14-week (B) postoperative views show closure of the perforation, and the nasal floor is completely covered with nasal epithelium at postoperative weeks 3 (C) and 14 (D).
The patient underwent the Hassan’s Method for repairing a septal perforation, a procedure that does not involve the use of skin grafts or cartilage grafts and leaves the nasal turbinate’s unaffected. The patient underwent preoperative and postoperative examinations, with a 4-week interval between the two.
Cutting-Edge Perforated Septum Treatments
Advanced Surgical Solutions and Repair Methods
Surgical steps: A, Freshening of the septal perforation margins with a beaver scalpel; B, Advancement of the flap; C, Flap fixation with absorbable stitches; D, 6 months postoperative control demonstrating the good outcome. F: flap; IT: inferior turbinate; NS: nasal septum; NV: nasal vestibule.
Mr. Hassan Elhassan is dedicated to crafting personalised treatment plans that cater to the unique characteristics of each patient’s septal perforation, encompassing considerations like perforation size, associated symptoms, and individual goals. His primary focus remains on the alleviation of distressing symptoms and the restoration of both nasal functionality and appearance. To achieve these goals effectively, his comprehensive treatment plans often incorporate a multifaceted approach, which includes the following key components:
Nasal Disinfection and Cleansing: The treatment process commences with meticulous disinfection and cleansing of the nasal passages. This step ensures the reduction of infection risk and promotes a sterile environment for subsequent procedures.
Enhanced Humidification and Moisture Levels: Maintaining optimal humidity and moisture within the nasal cavity plays a crucial role in the healing process. By creating an environment conducive to recovery, Mr. Hassan aids in alleviating discomfort and irritation associated with septal perforations.
Addressing or Managing Concurrent Nasal Issues: Patients may experience other nasal conditions alongside their septal perforation. Mr. Hassan’s treatment plans account for these concurrent issues and provide solutions that promote holistic nasal health.
Preventing Further Enlargement of the Perforation: Proactive measures are implemented to prevent any worsening of the perforation, ensuring that it remains stable and does not expand in size.
Surgical Closure of the Septal Perforation: For larger septal perforations, Mr. Hassan employs advanced surgical techniques to close the perforation entirely. This step is vital in achieving lasting symptom relief and restoring the nasal structure.
Reconstructing the Nasal Structure: In cases where structural integrity is compromised, Mr. Hassan focuses on restoring the nasal framework to its natural state. This meticulous reconstruction process aids in achieving both functional and aesthetic improvements.
Through these meticulously crafted treatment plans, Mr. Hassan Elhassan aims to enhance the overall quality of life for patients suffering from septal perforations, providing relief from distressing symptoms and improving nasal function and appearance.
ALTERNATIVE TREATMENTS
Symptom Overview of Septal Perforation
Measurement of the flap both on the CT scan (A) and intraoperatively with a surgical ruler (B).
It is essential to treat all septal perforations to prevent potential long-term complications. The approach to managing a septal perforation is determined by the perforation’s size and the severity of associated symptoms.
For smaller perforations (<1cm), the initial management typically involves methods such as increased humidification, antibiotic ointments, and irrigation. When dealing with septal perforations ranging from 1 to 2cm in size, especially if symptoms are severe, an initial intervention may include the use of a septal button implant. This implant covers the perforation and facilitates healing of the surrounding lining.
In some medical institutions, the septal button is left in place permanently if the patient is comfortable and can tolerate it. However, if a patient cannot tolerate the implant, it can be used temporarily to stabilize the nose before considering a permanent surgical repair. Septal perforations larger than 2cm generally require surgical repair and are not typically suitable candidates for septal buttons.
Regardless of the perforation’s size, Mr. Hassan recommends septal buttons as a temporary measure. In his experience, most patients do not tolerate septal buttons for an extended period. Issues such as mucus buildup around the implant, implant rotation, and uncontrolled movement inside the nose often lead to chronic irritation, prompting patients to seek a permanent surgical solution.
Mr. Hassan firmly believes that the best long-term outcome is achieved through a permanent surgical repair, which restores normal nasal function. His surgical repair method boasts a success rate of over 99% in alleviating symptoms, closing the perforation, and stabilizing the nose.
Managing Small Septal Perforations
Effective Strategies for Symptom Relief
Septal perforations, characterised by small holes in the nasal septum, require careful management to prevent long-term complications. These perforations, typically measuring less than 1 cm, may lead to discomforting symptoms. This article delves into the specific strategies for managing small septal perforations effectively.
Initial Steps for Small Perforations:
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Increased Humidification: One of the primary management strategies for small septal perforations involves promoting a healthy mucosal lining through increased humidification. Proper moisture levels can alleviate some symptoms associated with septal perforations.
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Antibiotic Ointments: Applying antibiotic ointments to the affected area is another crucial step. This minimizes the risk of infection, which can exacerbate the condition and lead to more severe symptoms.
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Regular Nasal Irrigation: Regular nasal irrigation is employed to keep the perforation clean and facilitate symptom relief. This practice helps minimize the accumulation of nasal crusts and maintains overall nasal health.
This article provides a comprehensive guide on managing small septal perforations, focusing on symptom relief, mucosal health, and infection prevention.
Addressing Moderate Septal Perforations
A Closer Look at Treatment Options
Moderate septal perforations, ranging from 1 to 2 cm in size, often come with severe symptoms that require a more involved approach. In this article, we explore the various treatment options for addressing moderate septal perforations effectively.
Effective Treatment for Moderate Perforations:
The Septal Button Implant: When symptoms are significant, an initial intervention often involves the use of a septal button implant. This implant covers the perforation and aids in the healing of the surrounding mucosal lining.
Temporary vs. Permanent Use: Some medical institutions may consider leaving the septal button in place permanently if the patient can tolerate it. In contrast, others use it temporarily to stabilize the nose before considering a permanent surgical repair.
This article provides in-depth insights into the treatment options for moderate septal perforations, emphasizing the septal button implant and its role in symptom relief.
Large Septal Perforations
Navigating Surgical Repair
Large septal perforations, typically exceeding 2 cm in size, pose unique challenges and often necessitate surgical repair. This article explores the intricacies of managing large septal perforations, delving into the importance of timely intervention and outlining the surgical repair process.
Managing Large Perforations:
- Surgical Repair Requirement: Septal perforations of this size generally require surgical repair, as they are not suitable candidates for septal buttons. The structural damage is too extensive to be managed with conservative measures.
The Expert’s Recommendation:
Mr. Hassan’s Approach: Mr. Hassan, an accomplished septal perforation specialist, recommends septal buttons as a temporary measure for symptom relief, regardless of the perforation’s size. In his extensive experience, most patients find it challenging to tolerate septal buttons for an extended period due to complications like mucus build-up, implant rotation, and uncontrolled movement inside the nose.
Advocating for Permanent Surgical Repair: To achieve the best long-term outcome, Mr. Hassan firmly believes in permanent surgical repair. This approach not only alleviates symptoms but also closes the perforation and stabilizes the nose, boasting a remarkable success rate of over 99%.