Nasal septal perforations must and can be closed / Perfuraçöes septais devem e podem ser cerradas
Folha méd
;
107(1): 33-41, jul. 1993. ilus
Artigo
em Inglês
| LILACS
| ID: lil-170363
RESUMO
According to the experience of the main author extending over more than 20 years (more than 100 cases) in the treatm,ent of septal perforations, we have the deep conviction that all techniques using local flaps should actually be considered to be obsolete, as the blood supply is insufficient. Perforations with diameter up to 4cm can be closed in a one stage procedure with extensive disection of the mucoperichondrium and mucoperiosteum of the septum, the vault and the vestibular and cavity floor. The hole in the quadrangular plate can be reduced by a push back or push down manoeuver of part of the cartilage. For closure of perforations larger than 4 cm in diameter, we use a 2-3 stage procedure using a composite bucal flap with three layers (mucosa0cartilage and mucosa) and a gingivolabial pedicle. Thus all kinds and size of perfrations can be closed surgically avoiding the use of silicone obturatirs which only enlarge the hole
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Índice:
LILACS (Américas)
Assunto principal:
Septo Nasal
Limite:
Humanos
Idioma:
Inglês
Revista:
Folha méd
Assunto da revista:
Medicina
Ano de publicação:
1993
Tipo de documento:
Artigo
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