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A nasal septum perforation is a medical condition in which the nasal septum, the bony/cartilaginous wall dividing the nasal cavities, develops a hole or fissure. [1]This may be brought on directly, as in the case of nasal piercings, or indirectly, as by long-term topical drug application, including nasal administration of ethylphenidate, methamphetamine, cocaine, crushed prescription pills, or ...
Nasal septum perforation due to the bilateral trauma of the mucoperichondrial flaps opposite each other. Septal hematoma and septal abscess. Adhesions and synechiae between septal mucosa and lateral nasal wall. Saddle nose due to over-resection of the dorsal wall of the septal cartilage. Dropped nasal tip due to resection of the caudal margin.
Concha, septum or rib cartilage grafts should be used for creating enough support and a good shape. A second repair can sometimes be required; causes are recurrence of cancer, new cancer or new trauma. A second flap can be harvested from the contralateral forehead after a prior vertical flap. [1]
The nasal lining of the distal two-thirds of the nose can be covered with anteriorly based septal mucosal flaps; however, if bilateral septal-flaps are used, the septal cartilage does become devascularized, possibly from iatrogenic septal perforation. Furthermore, if the nasal defect is beyond the wound-correction scope of a septal mucosal flap ...
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
In this model, septal cartilage was first perforated to create a defect, and subsequently, an engineered cartilage graft implanted into the defect during the same surgical procedure [35] Using an orthotopic large animal model to study repair of articular cartilage defects, engineered NC-based cartilage grafts were implanted into the condyle of ...