Septal Perforation Repair Using Polydioxanone Plates: A 10-Year Comparative Study. Issue 4 (October 2015)

• Record Type: Journal Article
• Authors: Sand, Jordan P.; Desai, Shaun C.; Branham, Gregory H.
• Is Part Of: Plastic and reconstructive surgery. Volume 136:Issue 4(2015:Oct)
• Publication Date: 2015-10
• Subjects: Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/PRS.0000000000001571
• Languages: English
• ISSNs: 0032-1052

Abstract

Abstract : Summary: Medium to large septal perforations are a challenging problem to the rhinoplasty surgeon. In this study, records and outcomes are reviewed for 25 patients who underwent septal perforation repair over a 10-year period. All patients underwent an open septorhinoplasty approach with use of bilateral opposing mucoperichondrial flaps and a unique intervening graft that included acellular dermis, temporalis fascia alone, or a novel closure technique using temporalis fascia and a polydioxanone plate. The authors identify that for medium to large septal perforations, the use of the polydioxanone plate with temporalis fascia provided the highest rate of closure as a method of scaffolding a fascial graft, and also provided ease of placement between opposing mucoperichondrial flaps. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. Abstract : Supplemental Digital Content is available in the text.