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일측성 회전피판 및 비중격연골-대퇴근막 복합조직 이식에 의해 재건한 비중격 천공 증례

Septal Perforation Repaired by Unilateral Rotation Flap and Cartilage-Fascia Lata Composite Graft

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참고문헌

키워드

주제분류이비인후과학

초록

A 20-year-old male patient suffered from persistent nasal stuffiness and frequent epistaxis after prolonged use of intranasal corticosteroid for his allergic rhinitis. On physical examination, we observed a 1.5 cm sized septal perforation on the anterior portion of the nasal septum. Using inferior-based mucosal rotation flap for the left side and placing cartilage-Fascia lata composite graft between both sides of perforated septal mucosa, we repaired his septal perforation. After 6 months of the surgery, the perforation was completely healed. He has not suffered from any nasal osbtruction or epistaxis.

Abstract

A 20-year-old male patient suffered from persistent nasal stuffiness and frequent epistaxis after prolonged use of intranasal corticosteroid for his allergic rhinitis. On physical examination, we observed a 1.5 cm sized septal perforation on the anterior portion of the nasal septum. Using inferior-based mucosal rotation flap for the left side and placing cartilage-Fascia lata composite graft between both sides of perforated septal mucosa, we repaired his septal perforation. After 6 months of the surgery, the perforation was completely healed. He has not suffered from any nasal osbtruction or epistaxis.

참고문헌 (8)

  1. 최윤석, "비중격 천공의 진단과 치료", 대한이비인후과학회지 두경부외과학, 49(6), pp.586~592 (2006), 대한이비인후과학회
  2. Goodman WS, "The surgical closure of nasoseptal perforations", Laryngoscope, 92(2), pp.121~124 (1982)
  3. 박성현, "개방성 외비 접근법을 이용한 거대 비중격 천공의 교정", 임상이비인후과, 20(1), pp.94~99 (2009), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  4. Woolford TJ, "Repair of nasal septal perforation using local mucosal flaps and a composite cartilage graft", J Laryngol Otol, 115(1), pp.22~25 (2001)
  5. Jang CH, "Repair of large nasal septal perforation using tragal cartilage graft and posteriorly based mucoperiosteal flap", J Clinical Otolaryngol, 11(1), pp.175~178 (2000)
  6. Walter AJ, "Changes in tensile strength of cadaveric human fascia lata after implantation in a rabbit vagina model", J Urol, 169(5), pp.1907~1910 (2003)
  7. Tiengo C, "Fascia lata allografts as biological mesh in abdominal wall repair: preliminary outcomes from a retrospective case series", Plast Reconstr Surg, 132(4), pp.631e~639e (2013)
  8. Jang YJ, "Use of tutoplast-processed fascia lata as an onlay graft material for tip surgery in rhinoplasty", Otolaryngol Head Neck Surg, 144(4), pp.528~532 (2011)

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