A Different Approach to the Reconstruction of Nasal Septum Perforations: Alar Winged XXXX .

@entity1 @entity1912 @entity228 @entity15005 @entity260 @entity281 @entity130
PURPOSE: Nasal septal perforations (NSPs) are one of the major complications among the nose surgery that the surgeon has to solve it. There are many reasons on the etiology of septal perforation such as iatrogenic and idiopathic. All the surgical procedures are based on 2 main principles, namely repair using an intranasal flaps: mucosal, mucoperichondrial, mucoperiosteal flaps within the nasal cavity; and extranasal flaps. Operation can be carried out using either the "closed technique" or "open technique." The author presents a different or additional method, namely alar winged flaps (AWFs). @entity1 AND METHODS: Between 2010 and 2014, a total of 13 @entity1 with medium-large @entity15005 were treated with this approach. Of these 13 @entity1 , 9 were male (69%) and 4 female (31%). Average age was 40.13 years. In 13 cases, average diameter of the perforation was between 1.5 and 2.4cm; in 1 case, it was >3cm; in 2 cases, it was <2cm. RESULTS: Alar winged flaps was used for better exposure in all @entity1 . Etiology of the @entity15005 was detected as previous septal surgery in 5 cases (38%), over septal tissue resection in 3 cases (23%), and @entity281 at septal surgery, blunt @entity130 , >1 blunt @entity130 , nasal @entity228 using, respectively. There was no preoperative and @entity260 . At the early follow-up, AWF @entity1912 incision scar was cosmetically satisfactory. DISCUSSION: As can be seen from the senior authors' description, especially large NSPs are difficult problems to solve. The proposed surgical techniques are still offered the highest recurrence rates. To address this problem, the authors developed the AWF method. The operation time before using AWF was so long in our previous @entity15005 surgeries. After AWF, the authors saved an average of 14 to 25 minutes in each operation. No visible scar is seen on the AWF donor areas at the early follow-up. The authors suggest this @entity1912 method bilaterally and/or unilaterally for the medium or large perforations.
