| Title: |
Septal Perforation Repair Using A Temporoparietal Fascia And Polydioxanone Plate Construct: A Multi-institutional Analysis |
| Authors: |
Davis, Seth J.; Rossi Meyer, Monica; Misch, Emily; McLeod, Megan; Occhiogrosso, Jessica; Yau, Jenny; Mims, Marc; Dedhia, Raj D.; Sowder, Justin C.; Shockley, Ross; Cerrati, Eric; Shaye, David; Shockley, William; Owen, Scott; Stephan, Scott J. |
| Source: |
School of Medicine Faculty Publications |
| Publisher Information: |
LSU Health Digital Scholar |
| Publication Year: |
2023 |
| Subject Terms: |
Otolaryngology |
| Description: |
Background: Nasal septal perforations (NSPs) are notoriously difficult to fix and closure can paradoxically lead to worsening of symptoms, prompting numerous techniques for repair including temporoparietal fascia (TPF)-polydioxanone (PDS) plate interposition grafting. Objectives: To compare rates of NSP closure with TPF-PDS interposition grafting among a variety of institutions with diverse environmental influences and patient-specific factors. Methods: Retrospective review of patients undergoing TPF-PDS interposition grafting at seven different U.S. institutions over 5 years. Outcomes include closure rate, self-reported symptom improvement, change in Nasal Obstruction Symptomatic Evaluation (NOSE) score, and postoperative complications. Results: Sixty-two patients (39 female) with a mean age of 41.5 years were included. Most common perforation location was anterior (53%), and average size was 1.70 cm2. NSP closure with symptomatic improvement was achieved in 95% of participants. Postoperative NOSE scores decreased on average by 42 points. Residual crusting occurred in 29% of patients, independent of external factors. Conclusions: TPF-PDS interposition grafting is highly effective for NSP repair in a wide variety of settings, and NOSE scores correspond well with patient-reported outcomes. |
| Document Type: |
text |
| Language: |
unknown |
| Relation: |
https://digitalscholar.lsuhsc.edu/som_facpubs/993; https://doi.org/10.1089/fpsam.2021.0421 |
| DOI: |
10.1089/fpsam.2021.0421 |
| Availability: |
https://digitalscholar.lsuhsc.edu/som_facpubs/993; https://doi.org/10.1089/fpsam.2021.0421 |
| Accession Number: |
edsbas.E4D17170 |
| Database: |
BASE |