Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

Yoon Sik Park; Do Yoon Jeong; Ji Yun Choi

doi:10.18787/jr.2019.26.2.127

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Park, Jeong, and Choi: Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

Case Report

J Rhinol 2019;26(2):127-131.

Published online: 20 January 2019

DOI: https://doi.org/10.18787/jr.2019.26.2.127

Repair of Nasal Septal Perforation Using Polycaprolactone Plate and Temporalis Fascia Graft

Yoon Sik Park, MD, Do Yoon Jeong, MD, Ji Yun Choi, MD, PhD

Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Korea

Address for correspondence: Ji Yun Choi, MD, PhD, Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medi-cine, 365 Pilmundaero, Dong-gu, Gwangju 61453, Korea Tel: +82-62-220-3384, Fax: +82-62-225-2702, E-mail: happyent@naver.com

Received 31 October 2019 Revised 20 November 2019 Accepted 20 November 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Trauma is the predominant cause of septal perforation resulting from surgical operation for nasal septum including submucosal resection. A 24-year-old female patient was diagnosed with nasal septal perforation after septoplasty. The patient manifested no specific symptoms except for occasional nasal bleeding, whistling and stuffy nose. Nasal septal perforation measuring 5×5 mm² in size was observed at the anterior portion of nasal septum. The present study involves the repair of nasal septal perforation employing a polycaprolactone (PCL) plate and temporalis fascia graft, and discusses the consequences of complete closure of perforation without complications.

Keywords: Septum, Perforation, Repair, Polycaprolactone plate, Temporalis fascia

References

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Fig. 1.

Preoperative endoscopic view showing 5×5 mm² septal perforation in the nasal cavity.

Fig. 2.

Preoperative paranasal sinus-computed tomography (PNS CT) shows septal perforation. A: sagital view. B: axial view.

Fig. 3.

The PCL plate was larger than the size of the perforation and the temporalis fascia.

Fig. 4.

The PCL plate was covered with temporalis fascia.

Fig. 5.

The PCL plate and temporalis fascia complex were insert-ed into the perforation site.

Fig. 6.

Postoperative nasal cavity reveals complete closure of septal perforation. A: POD 3 weeks. B: POD 6 months.

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